Provider Demographics
NPI:1083741888
Name:DOWD, EUGENE A (OPTOMETIST)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:A
Last Name:DOWD
Suffix:
Gender:M
Credentials:OPTOMETIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-6244
Mailing Address - Country:US
Mailing Address - Phone:307-362-3541
Mailing Address - Fax:307-362-1891
Practice Address - Street 1:435 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-6244
Practice Address - Country:US
Practice Address - Phone:307-362-3541
Practice Address - Fax:307-362-1891
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY150T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist