Organization
BREIWA WARE & JESKIE PSC
Active
Other names
Vison Source of Bowling Green
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN N. BREIWA O.D. (PRESIDENT)
(270) 842-0383
Entity
Organization
Contact information
Practice address
335 NEW TOWNE RD, BOWLING GREEN, KY 42103-7966
(270) 842-0383
(270) 842-0485
Mailing address
P.O. BOX 5000, 335 NEW TOWNE DRIVE, BOWLING GREEN, KY 42103-7966
(270) 842-0383
(270) 842-0485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06622
SPECTERA
KY
05
—
7100253310
—
KY
Enumeration date
02/12/2007
Last updated
09/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us