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PATRICK FOWLER O.D. P.A. NPI 1801100623


NPI Information

NPI: 1801100623
Provider Name: PATRICK FOWLER O.D. P.A.

Doing Business As: FOWLER VISION CARE

Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
5501 S OLIVE ST
PINE BLUFF, AR
ZIP 71603
Phone: (870) 761-4761
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PATRICK FOWLER O.D. P.A. is a corneal and contact management optometrist in Pine Bluff, AR. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. PATRICK FOWLER O.D. P.A. NPI is 1801100623. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fowler Vision Care.

The provider's business location address is:

5501 S OLIVE ST
PINE BLUFF, AR
ZIP 71603-607
Phone: (870) 761-4761
Fax: (870) 534-7362

The provider's authorized official is Phillip Patrick Fowler .
The authorized official title is Optometrist and has the following contact phone number (870) 761-4761.

The enumeration date for this NPI number is 8/4/2010 and was last updated on 8/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
149860MEDICARE PINARKANSAS
2152051722MEDICAIDARKANSAS
3U96478MEDICARE UPINARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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