Provider Demographics
NPI:1043458185
Name:BOWDEN, GERADE EUGENE JR (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:GERADE
Middle Name:EUGENE
Last Name:BOWDEN
Suffix:JR
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1650 HUNTINGDON PK
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046
Mailing Address - Country:US
Mailing Address - Phone:215-947-6160
Mailing Address - Fax:215-947-7425
Practice Address - Street 1:1650 HUNTINGDON PK
Practice Address - Street 2:SUITE 150
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046
Practice Address - Country:US
Practice Address - Phone:215-947-6160
Practice Address - Fax:215-947-7425
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician