Organization · NPI-2

Brett P Bowman O D Associates P S

Optometrist · Tustin, CA

NPI number1487980983
StatusActive
Last updated in NPPESDec 19, 2012

Details

NPI
1487980983
Entity type
Organization (NPI-2)
Legal business name
Brett P Bowman O D Associates P S
Organization subpart
No
Enumeration date
Oct 19, 2009
Last updated
Dec 19, 2012

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

Authorized official

Brett Patrick Bowman
Owner
7145444810

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