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EDIE BOWMAN OD LLC NPI 1811167158


NPI Information

NPI: 1811167158
Provider Name: EDIE BOWMAN OD LLC

Doing Business As: COLORADO VISION CENTER FORT COLLINS

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 06D2180914

Address:
2001 S SHIELDS ST STE J1
FORT COLLINS, CO
ZIP 80526
Phone: (970) 206-0100
Get Directions

EDIE BOWMAN OD LLC is an optometrist in Fort Collins, CO. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. EDIE BOWMAN OD LLC NPI is 1811167158. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Colorado Vision Center Fort Collins.

The provider's business location address is:

2001 S SHIELDS ST STE J1
FORT COLLINS, CO
ZIP 80526-837
Phone: (970) 206-0100
Fax: (970) 206-0300

The provider's authorized official is Laura A Paul .
The authorized official title is Optician/office Manager and has the following contact phone number (970) 206-0100.

The CLIA number assigned to this NPI record is 06D2180914 - other - university lab with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 7/21/2022.


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
1152W00000XOptometristCOLORADOYes

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
199331241MEDICAIDCOLORADO

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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