Provider Demographics
NPI:1376928143
Name:BOWERS, KARLEE (OD)
Entity Type:Individual
Prefix:
First Name:KARLEE
Middle Name:
Last Name:BOWERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2001
Mailing Address - Country:US
Mailing Address - Phone:412-561-1964
Mailing Address - Fax:412-561-7295
Practice Address - Street 1:713 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2080
Practice Address - Country:US
Practice Address - Phone:412-561-1964
Practice Address - Fax:412-561-7295
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG003137152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist