Abigail Hogle Fowler OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2492 Issued in OK

Legal business name

ABIGAIL HOGLE FOWLER OD PLLC

Doing business as

Advance Vision Center and Eye Wear Boutique

Practice address

860 S Lynn Riggs Blvd
Claremore, OK 74017-8301

Phone

(918) 283-2273

Fax

(918) 283-2273

NPI assigned

Feb 12, 2008

Last updated

Sep 12, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Abigail Hogle Fowler, O.D.NPI 1013021567

Title

Optometrist/Owner

Phone

(918) 230-1273

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advance Vision Center and Eye Wear Boutique Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abigail Hogle Fowler, O.D.

  • Optometrist
  • Claremore, OK
  • NPI 1013021567
  Medicare reassignment NPD Authorized official
• Samuel Joseph Overstreet IV, O.D.

  • Optometrist
  • Savannah, GA
  • NPI 1063457547
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1952579971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 S LYNN RIGGS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740178301",
            "telephone_number": "918-283-2273",
            "fax_number": "918-283-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S LYNN RIGGS BLVD",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740178301",
            "telephone_number": "918-283-2273",
            "fax_number": "918-283-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIGAIL HOGLE FOWLER OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "HOGLE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "918-230-1273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200130210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Vision Center and Eye Wear Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Claremore, OK
• Providers in Claremore, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.