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DR. ERNEST LEE BOWLING O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1598771768

Individual Registrant:
DR. ERNEST LEE BOWLING O.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
2625 N HIGHWAY 27  LA FAYETTE, GA 30728-6975 US
Tel: 256-295-2632  Fax: --

Contact information for business:
PO BOX 764  LEESBURG, AL 35983-0764 US
Tel: 256-295-2632  Fax: --

Registration Information:
NPI: 1598771768
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
ALS-703-TA-360
N152W00000XEye and Vision Services Providers
Optometrist
GAOPT001312

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
009933318AL05
UMWA1387502AL01
00508098AGA05
BCBS PLAN #60101924AL01
117305AL05
BLUE CROSS BLUE SHIELD51002339AL01
BCBS51103554AL01
MEDICARE TRAVELERS51002339AL01
VIVA HEALTHU05596AL01
00508098BGA05




HEALTH CARE JOBS GA - Page 1



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