Provider Demographics
NPI:1477523132
Name:BOWDEN, CATHERINE S (OD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:S
Last Name:BOWDEN
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 1:601 HALTON RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3403
Mailing Address - Country:US
Mailing Address - Phone:864-458-7956
Mailing Address - Fax:864-458-8390
Practice Address - Street 1:220 S PENDLETON ST
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3048
Practice Address - Country:US
Practice Address - Phone:864-859-3233
Practice Address - Fax:864-850-4001
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0910152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC410024412OtherMEDICARE RAILROAD
SC4489610OtherAETNA PROVIDER NUMBER
SCD09104Medicaid
SC4460247002OtherCIGNA PROVIDER NUMBER