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Organization
BOWMAN OPTOMETRY, PA
Active
Organization
BOWMAN OPTOMETRY, PA
Active
Other names
Smith Eye Associates, Bowman Optometry, PA
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DOUGLAS SMITH (PRESIDENT)
(864) 616-3907
Entity
Organization
Contact information
Practice address
120 A1A N STE 101, PONTE VEDRA BEACH, FL 32082-6609
(904) 280-9000
(904) 280-4448
Mailing address
120 A1A N, SUITE 101, PONTE VEDRA BEACH, FL 32082-6625
(904) 280-9000
(904) 280-4448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72844A
BLUE CROSS BLUE SHIELD
FL
01
—
CI9975
RAILROAD MEDICARE
—
Enumeration date
01/05/2009
Last updated
05/01/2026
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