Organization
D. L. BOWLING, O.D., P.C.
Active
Other names
Daniel L. Bowling, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LAYNE BOWLING O.D. (PRESIDENT)
(540) 921-3921
Entity
Organization
Contact information
Practice address
122 TAZEWELL ST, PEARISBURG, VA 24134-1632
(540) 921-3921
(540) 921-1328
Mailing address
PO BOX 638, PEARISBURG, VA 24134-0638
(540) 921-3921
(540) 921-1328
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
0618000310
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004178
ANTHEM BLUE CROSS BLUE SHIELD
VA
05
—
009204504
—
VI
01
—
45401750
AETNA
—
Enumeration date
02/19/2008
Last updated
08/04/2008
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