Organization
BOWERSOX VISION CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL M BOWERSOX OD (OPTOMETRIST)
(502) 647-3937
Entity
Organization
Contact information
Practice address
403 WASHINGTON ST, SHELBYVILLE, KY 40065-1127
(502) 647-3937
(502) 633-7326
Mailing address
403 WASHINGTON ST, SHELBYVILLE, KY 40065-1127
(502) 647-3937
(502) 633-7326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1301DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77013019
—
KY
Enumeration date
02/27/2007
Last updated
01/22/2025
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