Bowen, Mark Thomas
Bowen, Mark Thomas is an sole proprietor health care provider with primary practice located at Alexandria Vahcs 2495 Shreveport Hwy, Pineville LA 71360-4044. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bowen, Mark Thomas can be contacted via phone (318) 473-0010.Contact Information
Primary practice address
Alexandria Vahcs 2495 Shreveport Hwy
Pineville LA 71360-4044
Phone: (318) 473-0010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 932-143T | Louisiana |
Profile Details
| NPI number | 1598736209 |
|---|---|
| LBN Legal business name | Bowen, Mark Thomas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Sep 13th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598736209 | NPPES |
| Louisiana | MEDICAID | 1370886 |
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