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Contact Information

LISA M BOWEN, OD
3617 DAYTON XENIA RD
BEAVERCREEK, OH45432-2828
 Phone: 937-429-1795
 Fax: 937-429-5354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LISA M BOWEN · (Female)

NPI # 1962477679
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 02/17/2006
Last updated 11/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # OPT006443
  • PA License # OEG001257
  • PA Medicaid 101012152-0001
Hospital affiliation(s) Not Available
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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