Individual
DR. DANIEL LAYNE BOWLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000310
VA
152W00000X
Optometrist
710D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004178
ANTHEM HEALTHKEEPERS
VA
01
—
004178
BLUE CROSS BLUE SHIELD
—
05
—
009204504
—
VA
01
—
1461175
UNITED MINEWORKERS OF AME
—
01
—
4540178
AETNA
—
Enumeration date
03/22/2006
Last updated
09/18/2008
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