Individual
WAYNE A FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9 CENTRAL ST, LOWELL, MA 01852-1927
(978) 458-4546
(978) 934-9264
Mailing address
22 ROCKY HILL RD, ANDOVER, MA 01810-6118
(978) 623-8195
(978) 934-9264
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4051
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312479
—
MA
01
—
151507
HARVARD PILGRIM
MA
01
—
158296XX
PHCS
MA
01
—
174713
CIGNA
MA
01
—
3193
ANTHEM BS
MA
01
—
3200852
AETNA
MA
01
—
35222
FALLON HEALTH CARE
MA
01
—
40485
NH/VERMONT BC/BS
MA
01
—
41642
JOHN HANCOCL/CHILDERN
MA
01
—
774609
TUFTS HEALTH PLAN
MA
01
—
980952
NTEWORKHEALTH
MA
01
—
W16119
BC/BS OF MASS
MA
Enumeration date
08/12/2005
Last updated
07/08/2007
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