Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHNNY L BOWMAN, OD
Active Sole ProprietorDR. JOHNNY L BOWMAN, OD is a Optometrist healthcare provider located in PURDY, Missouri. NPI 1104818749 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PURDY, MO
Registration Details
- NPI Number
- 1104818749
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2005 (21.025737278055 yrs)
- Last Updated
- Jan 28, 2019
- License
-
2365 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 WASHINGTON ST STE EPURDY, MO, 657348105Browse MO providers · Browse ZIP 65734
- Phone
- 4174423020
- Fax
- 4174423020
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.