Organization
BRETT P. BOWMAN OD., PROFESSIONAL OPTOMETRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT P BOWMAN O.D. (OWNER)
(951) 737-0477
Entity
Organization
Contact information
Practice address
1810 FULLERTON AVE, SUITE 201, CORONA, CA 92881-3103
(951) 737-0477
(951) 737-0565
Mailing address
1810 FULLERTON AVE, SUITE 201, CORONA, CA 92881-3103
(951) 737-0477
(951) 737-0565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 10289T
CA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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