Organization
FOWLE EYECARE ASSOCIATES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY J FOLWE OD (OWNER)
(616) 866-0140
Entity
Organization
Contact information
Practice address
120 MARCELL DR NE, SUITE A, ROCKFORD, MI 49341-1362
(616) 866-0140
(616) 866-8694
Mailing address
120 MARCELL DR NE, SUITE A, ROCKFORD, MI 49341-1362
(616) 866-0140
(616) 866-8694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002906
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5106316
—
MI
01
—
900D166020
BCBSM & BLUE CARE NETWORK
MI
Enumeration date
06/12/2007
Last updated
12/15/2020
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