IndividualActive
Grady Bowens
NPI 1912190372 · Optician · Charlotte, NC
Provider details
- NPI number
- 1912190372
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1336 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3211 Eastway Dr Ste 13
Charlotte, NC 28205-6679
Phone: (704) 568-6760
Fax: (704) 568-7059
Approximate (ZIP-level) locationGet directions
Mailing address
3211 Eastway Dr Ste 13
Charlotte, NC 28205-6679
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2007-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.