Individual
MARK A BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2554 HIGHWAY 394, BLOUNTVILLE, TN 37617
(423) 323-3799
(423) 323-3752
Mailing address
1323 HIGHWAY 394 STE B, BLOUNTVILLE, TN 37617-4133
(423) 323-3799
(423) 323-3752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T2336
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3945417
—
TN
01
—
4087308
BLUE CROSS BLUE SHIELD
TN
01
—
800110477
CIGNA
TN
Enumeration date
10/06/2006
Last updated
08/30/2021
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