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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARK T BOWEN, OD
3190 N. 1ST ST
JENA, LA71342-1410
 Phone: 318-992-6103
 Fax: 318-992-6106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARK T BOWEN · (Male)

NPI Number 1598736209
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/30/2006
Last updated 05/26/2010 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
LA License # 932-143T
LA Medicaid 1370886
LA Medicare (Unspecified) 48344
LA Medicare UPIN B60279
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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