NPI 1508397050 · live from the CMS NPI Registry
Benjamin James Fowler, MD, PhD
Ophthalmology in Portland, ME. National Provider Identifier 1508397050, active.
NPI record
| NPI | 1508397050 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 15 Lowell St, Portland, ME 04102 |
| Practice phone | 207-774-8277 |
| Mailing address | 1315 Eberhardt Ct, Madison, WI 53715 |
| Enumerated | March 27, 2017 |
| Last updated | August 2, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 75332-20 (WI) |
| Ophthalmology primary | 207W00000X | MD26618 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.