Dr Andrea Bowmar, OD | |
1421 S 11th St, Niles, MI 49120-4201 | |
(269) 684-1330 | |
(269) 684-3353 |
Full Name | Dr Andrea Bowmar |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1421 S 11th St, Niles, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891736617 | NPI | - | NPPES |
100341250 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901004472 (Michigan) | Primary |
152W00000X | Optometrist | 18002528 (Indiana) | Secondary |
Provider Name | Myeyedr Optometry Of Indiana Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083100424 PECOS PAC ID: 5496091316 Enrollment ID: O20190115001215 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrea Bowmar, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Dr Andrea Bowmar, OD 1421 S 11th St, Niles, MI 49120-4201 Ph: (269) 684-1330 |
Rx Optical Optometrist Medicare: Medicare Enrolled Practice Location: 1421 S 11th St, Niles, MI 49120 Phone: 269-684-1330 Fax: 269-684-3353 | |
Dr. Michel Dale Listenberger, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 9 S Saint Joseph Ave, Niles, MI 49120 Phone: 269-683-4040 Fax: 269-683-7565 | |
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1421 S 11th St, Niles, MI 49120 Phone: 269-684-1330 | |
Dr. Jeffrey Joel Becraft, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 20 N 2nd St, Niles, MI 49120 Phone: 269-683-4040 Fax: 269-683-7565 | |
Dr. Lori F Glass, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2107 S. 11th St, Niles, MI 49120 Phone: 269-683-0878 Fax: 269-683-0878 | |
Niles Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9 S Saint Joseph Ave, Niles, MI 49120 Phone: 269-683-4040 Fax: 269-683-7565 | |
Niles Vision Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 9 S Saint Joseph Ave, Niles, MI 49120 Phone: 269-683-4040 |