Lisa Michelle Bowen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001257 Issued in PA

Practice address

3617 Dayton Xenia Rd
Beavercreek, OH 45432-2828

Phone

(937) 429-1795

Fax

(937) 429-5354

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lisa M Bowen, Inc.

  • Optometrist
  • Beavercreek, OH
  • NPI 1073331757
  Medicare reassignment NPD Authorized official
• Lisa M Bowen, Inc

  • Optometrist
  • Beavercreek, OH
  • NPI 1548121759
  NPD (past) Authorized official
• Lisa M Bowen, Inc.

  • Optometrist
  • Beavercreek, OH
  • NPI 1851260699
  NPD (past) Authorized official

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1962477679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322828",
            "telephone_number": "937-429-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454322828",
            "telephone_number": "937-429-1795",
            "fax_number": "937-429-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT006443",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101012152-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Joann Borchers, R.N. M.S.N. C.N.S.
• Theresa Marie Borchers, C.R.N.P.
• Eric William Bornholdt, ATC
• Bonnie Boshers
• Fatima Zehra Boumahchad
• Marjorie A Bowman, MD
• Tessa Brand Boyce, FNP
• Angela Rose Boyd, LMT
• Amber Boyle, RBT
• Allison Brandt, RD

• Optometrist in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.