Provider Demographics
NPI:1568590214
Name:BOWLING, J EARL (OD)
Entity Type:Individual
Prefix:DR
First Name:J
Middle Name:EARL
Last Name:BOWLING
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:JONATHAN
Other - Middle Name:EARL
Other - Last Name:BOWLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:215A W LAUCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-4647
Mailing Address - Country:US
Mailing Address - Phone:910-276-1993
Mailing Address - Fax:910-277-7364
Practice Address - Street 1:215A W LAUCHWOOD DR
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-4647
Practice Address - Country:US
Practice Address - Phone:910-276-1993
Practice Address - Fax:910-277-7364
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1177152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0906COtherBCBS
NC890920LMedicaid
NCT65078Medicare UPIN
NC0906COtherBCBS