Mr. Jeremy David Fowler is a Crestwood, Kentucky based male Optometrist with 16 years of experience in Optometry. He completed his graduation from Indiana University - School Of Optometry in 2008. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mr. Jeremy David Fowler is 1811DT for Optometry in Kentucky. Mr. Jeremy David Fowler 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mr. Jeremy David Fowler speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
16+ years
Medical School Attended:
Indiana University - School Of Optometry
Graduation Year:
2008
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
6501 Veterans Memorial Pkwy, Crestwood, Kentucky, 40014-8694
Phone:
502-996-7450
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1355400292
Enrollment ID:
I20160315001563
NPI Number:
1225290406
NPI Enumeration Date:
27 Jun, 2008
NPI Last Update On:
17 Mar, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jeremy David Fowler are as mentioned below.
License Number
Specialization
State
Status
1811DT
Optometry
Kentucky
Primary
18003525A
Optometry
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jeremy David Fowler such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
11875636
Other
CAQH
7100428530
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6501 Veterans Memorial Pkwy, Crestwood, Kentucky
Zip:
40014-8694
Phone Number:
502-996-7450
Fax Number:
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Patients can reach Mr. Jeremy David Fowler at 6501 Veterans Memorial Pkwy, Crestwood, Kentucky or can call to book an appointment on 502-996-7450. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.