Individual provider · NPI-1

Dr. Brett Patrick Bowman, O.D.

Optometrist · Tustin, CA

NPI number1053464818
StatusActive
Last updated in NPPESMay 18, 2015

Details

NPI
1053464818
Entity type
Individual (NPI-1)
Name
Dr. Brett Patrick Bowman
Credential
O.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 18, 2007
Last updated
May 18, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist10289TCAYes

Practice location

1101 Bryan Ave
Ste. A-1
Tustin, CA 92780-4401

Phone 714-544-4810 · Fax 714-368-9154

Mailing address

1101 Bryan Ave
Ste. A-1
Tustin, CA 92780-4401

Phone 714-544-4810 · Fax 714-368-9154

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