Individual
DR. JONATHAN EARL BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
208 SMITH AVE, SHALLOTTE, NC 28470-4458
(910) 754-2020
(910) 754-8811
Mailing address
PO BOX 867, SHALLOTTE, NC 28459-0867
(910) 754-2020
(910) 754-8811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1177
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0906C
BCBS
NC
05
—
890920L
—
NC
Enumeration date
03/02/2007
Last updated
05/01/2026
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