Organization Name: | GERALD T. BOWNS, M.D., A PROFESSIONAL CORPORATION |
NPI Number: | 1760647184 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALD THORPE BOWNS (PHYSICIAN / OWNER) |
Mailing Address: | 10 Congress St Ste 340 Pasadena |
State: | CA US |
Postal Code: | 911053020 |
Phone Number: | 6267965325 |
Fax Number: | 6267965526 |
NPI Enumeration Date: | 07/24/2008 |
NPI Last Update Date: | 07/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | A24388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |