Phillip P Fowler (NPI# 1366456972, PAC ID# 8224013719) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1366456972 |
| PAC ID by PECOS | 8224013719 |
| Professional Enrollment ID | I20040621000019 |
| Full Name | Phillip P Fowler |
| Organization Legal Name | ELITE EYE CARE AND OPTICAL LLC |
| Address |
1000 Windover Suite C Jonesboro AR 72401-6067 |
| Phone Number | 8709726040 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2003 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7416053368 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1000 Windover, Suite C, Jonesboro, AR 72401-6067 | 8709726040 | ELITE EYE CARE AND OPTICAL LLC |
| 3000 E Highland Dr, Suite 609, Jonesboro, AR 72401-6379 | 8703369090 | ELITE EYE CARE AND OPTICAL LLC |
| Organization Legal Name | ELITE EYE CARE AND OPTICAL LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Zachery Inboden | Optometry | Elite Eye Care and Optical LLC | 1000 Windover, Suite C, Jonesboro, AR 72401-6067 |
| Cade M Wilson | Optometry | Elite Eye Care and Optical LLC | 1000 Windover, Suite C, Jonesboro, AR 72401-6067 |
| Street Address |
1000 WINDOVER SUITE C |
| City | JONESBORO |
| State | AR |
| Zip | 72401-6067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Zachery Inboden | Optometry | Elite Eye Care and Optical LLC | 1000 Windover, Suite C, Jonesboro, AR 72401-6067 |
| Cade M Wilson | Optometry | Elite Eye Care and Optical LLC | 1000 Windover, Suite C, Jonesboro, AR 72401-6067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence W Gordon | Ophthalmology | Mid South Retina Associates, LLC | 820 E Matthews, E, Jonesboro, AR 72401 |
| Carl J Abraham Jr. | Infectious Disease | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Brookshield Laurent | Family Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Joy C Skaug | Emergency Medicine | Doctors Health Group, Inc | 3637 B E Johnson Ave, St. Bernards First Care Hilltop, Jonesboro, AR 72401-1808 |
| Megan L Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Jacob P Moll | Optometry | Hilltop Eyecare Pllc | 3705 E Johnson Ave, Jonesboro, AR 72401-1858 |
| Cristina L Shaw | Clinical Social Worker | St Bernards Hospital Inc | 2712 E Johnson, Jonesboro, AR 72401-1874 |
| Karen J Reinertsen | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Eloise E Weeks | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Lillian Somner | Psychiatry | St. Bernards Hospital Inc | 2712 E Johnson Ave, St Bernards Behav, Jonesboro, AR 72401-1874 |
| Find all physicians in zip 72401 | |||
| City | JONESBORO |
| Zip Code | 72401 |
| Specialty | OPTOMETRY |
| City + Specialty | JONESBORO + OPTOMETRY |
Please comment or provide details below to improve the information on Phillip P Fowler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.