DR. GARY J FOWLE


Address: 120 Marcell Dr Ne, Suite A, Rockford, MI 49341-1362
Phone: 6168660140

DR. GARY J FOWLE (NPI# 1427020023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427020023
Entity Type Individual
Full Name DR. GARY J FOWLE
Credential OD
Practice Address 120 Marcell Dr Ne
Suite A
Rockford
MI 49341-1362
Practice Telephone 6168660140
Practice Fax Number 6168668694
Mailing Telephone 6168660140
Mailing Fax Number 6168668694
Enumeration Date 2006-02-07
Last Update Date 2016-09-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 4901002906 MI Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
GROUP NPI 1780888081 01
MI 5106316 05
INDIVIDUAL NPI 1427020023 01

Office Location

Street Address 120 MARCELL DR NE
SUITE A
City ROCKFORD
State MI
Zip Code 49341-1362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215343124 Andrew Fowle Optometrist 120 Marcell Dr Ne, Suite A, Rockford, MI 49341-1362 2014-07-11
1407177405 Steven Mikulak Dc Plc Chiropractor 120 Marcell Dr Ne, Suite B, Rockford, MI 49341-1362 2010-06-14
1780888081 Gary J Fowle Od Plc Optometrist 120 Marcell Dr Ne, Suite A, Rockford, MI 49341-1362 2007-06-12
1851433999 Royce G Newman Chiropractor 120 Marcell Dr Ne, Suite B, Rockford, MI 49341-1362 2007-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801451836 Heather Nash Social Worker 65 S. Main Street, Lower Level, Rockford, MI 49341 2019-05-06
1366967069 Caitlin Lebron Case Manager/Care Coordinator 8625 Wildcat Run Dr Ne, Rockford, MI 49341 2017-08-03
1366967077 Elite Nurse Staffing, LLC Nursing Care 3836 Windwood Drive, Ne, Rockford, MI 49341 2017-08-03
1336678747 Melissa Diane Maynard Behavior Technician 3361 36th St., Grand Rapids, MI 49341 2017-06-08
1376077453 Spectrum Health Primary Care Partners Internal Medicine 8501 Meadowcreek Dr, Rockford, MI 49341 2017-04-17
1871025254 Robin D Dine Behavior Technician 8636 Shaner Ave, Rockford, MI 49341 2017-04-03
1528503216 Miles Skalnek Pharmacist 511 10 Mile Road, Rockford, MI 49341 2017-01-04
1366801664 Lorri Ann Kelbel Massage Therapist 11591 Northland Drive Ne, Rockford, MI 49341 2016-02-15
1275872046 Eugene Louis Bonofiglo Dentist 4655- 14 Mile Rd Ne, Rockford, MI 49341 2013-02-13
1740539246 Erica Joyce Nichols Chiropractor 6769 Courtland Dr, Suite 100, Rockford, MI 49341 2012-08-30
Find all providers in zip 49341

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831749548 Manpreet Kaur Dhaliwal Optometrist 6055 E State St Ste D01a, Rockford, IL 61108-2512 2019-09-14
1396399804 Freedom Vision Centers LLC Optometrist 6150 E State St Ste 130, Rockford, IL 61108-2524 2019-08-01
1679127021 Rosalba Ramirez Optometrist 5915 E Riverside Blvd, Rockford, IL 61114-4935 2019-07-24
1295214435 Neil Patel Optometrist 7200 Harrison Ave Unit F35, Rockford, IL 61112-3014 2018-08-08
1568839231 Irina Rutkowski Optometrist 1603 N Alpine Rd Ste 121, Rockford, IL 61107-1439 2015-08-28
1053603837 Hina N Patel Optometrist 4777 E State St # 6, Rockford, IL 61108-8802 2011-05-11
1114237435 Erica L Touhill-watson Optometrist 6790 Cannon Farms Dr Ne, Rockford, MI 49341-7720 2010-10-20
1952615684 Aman Jalota Optometrist 6430 E State St, Rockford, IL 61108-2529 2010-08-05
1821248287 Michael S. Feldt, O.d., Ltd. Optometrist 1640 Broadway, Rockford, IL 61104-6000 2008-09-23
1316107568 Wight Optometric PC Optometrist 1975 Pawlisch Dr, Rockford, IL 61112-1069 2008-06-11
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 49341

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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