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Ernest L. Bowling, OD, MS, FAAO, PC

Details

Name: Ernest L. Bowling, OD, MS, FAAO, PC
Jurisdiction: Alabama
Legal type: Foreign Professional Corporation
Status: Exists
Date of registration: 22 Mar 1999 (26 years ago) (Companies founded in March 1999)
Entity Number: 000-036-166
Register Number: 000036166
ZIP code: 35901 (Companies in Etowah, 35901)
County: Etowah
Place of Formation: Georgia
Principal Address: 1413 RAINBOW DRIVE SUITE 1GADSDEN, AL 35901
Principal Mailing Address: PO BOX 764LEESBIRG, AL 35983

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891088811 2011-05-24 2013-09-30 PO BOX 764, LEESBURG, AL, 359830764, US 1413 RAINBOW DR STE 1, GADSDEN, AL, 359015319, US

Contacts

Phone +1 256-295-2632
Fax 2565431094
Phone +1 256-543-8886
Fax 2565461094

Authorized person

Name DR. ERNEST LEE BOWLING
Role CEO
Phone 2562952632

Taxonomy

Taxonomy Code 152W00000X - Optometrist
License Number OPT 001312
State GA
Is Primary Yes

Agent

Name Role Address
BOWLING, ERNEST L Agent 1413 RAINBOW DRGADSDEN, AL 35901

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State