Provider Demographics
NPI:1689078743
Name:FRANK W. BOWDEN, III, MD, FACS, PA
Entity Type:Organization
Organization Name:FRANK W. BOWDEN, III, MD, FACS, PA
Other - Org Name:BOWDEN EYE & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:904-696-9486
Mailing Address - Street 1:12341 YELLOW BLUFF RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32226-2013
Mailing Address - Country:US
Mailing Address - Phone:904-696-9486
Mailing Address - Fax:904-696-3422
Practice Address - Street 1:12341 YELLOW BLUFF RD
Practice Address - Street 2:SUITE 4
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32226-2013
Practice Address - Country:US
Practice Address - Phone:904-696-9486
Practice Address - Fax:904-696-3422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253273500Medicaid
FLK2613Medicare PIN
FL7218150002Medicare NSC