| Bowman Optometry, Pa | |
|
120 A1a N Ste 101, Ponte Vedra Beach, FL 32082-6609 | |
| (904) 280-9000 | |
| (904) 280-4448 |
| Full Name | Bowman Optometry, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 120 A1a N Ste 101, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790921260 | NPI | - | NPPES |
| 72844A | Other | FL | BLUE CROSS BLUE SHIELD |
| CI9975 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Stephen M Pullen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801853296 PECOS PAC ID: 5193705275 Enrollment ID: I20040728001187 |
| Provider Name | Samuel T Bowman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871532754 PECOS PAC ID: 3577579382 Enrollment ID: I20090814000518 |
| Provider Name | William Douglas Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538401476 PECOS PAC ID: 7012135387 Enrollment ID: I20171204002513 |
| Mailing Address | Practice Location Address |
|---|---|
| Bowman Optometry, Pa 120 A1a N, Suite 101, Ponte Vedra Beach, FL 32082-6625 Ph: (904) 280-9000 | Bowman Optometry, Pa 120 A1a N Ste 101, Ponte Vedra Beach, FL 32082-6609 Ph: (904) 280-9000 |
Dr. Gilbert Houston, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 150 Professional Dr, Ste 300, Ponte Vedra Beach, FL 32082 Phone: 904-285-8448 Fax: 904-285-3410 | |
Susan Rost Monahan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 150 Professional Dr Ste 300, Ponte Vedra Beach, FL 32082 Phone: 904-285-8448 Fax: 904-285-3410 | |
Karen Sue Wolf, OD Optometrist Medicare: Medicare Enrolled Practice Location: 150 Professional Dr, Ste 300, Ponte Vedra Beach, FL 32082 Phone: 904-285-8448 Fax: 904-285-3410 | |
Roger L. Wilson, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 110 Solana Rd, Ponte Vedra Beach, FL 32082 Phone: 904-280-2021 Fax: 904-280-2024 | |
Dr. Roger L. Wilson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 110 Solana Rd, Ponte Vedra Beach, FL 32082 Phone: 904-280-2021 | |
Dr. Allison Ann Falden, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 880 A1a N Ste 13, Ponte Vedra Beach, FL 32082 Phone: 954-655-6807 | |
Drs. Wood, Lanier & Bowman, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 A1a N Ste 101, Ponte Vedra Beach, FL 32082 Phone: 904-280-9000 Fax: 904-280-4448 |