IndividualActive
Brandon Bowen, LDO
NPI 1932744570 · Optician · Radcliff, KY
Provider details
- NPI number
- 1932744570
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- No
- License
- 110135 (KY)
Practice location
171 E Lincoln Trail Blvd
Radcliff, KY 40160-1253
Phone: (270) 351-5367
Mailing address
171 E Lincoln Trail Blvd
Radcliff, KY 40160-1253
Registry dates
- Enumerated
- 2019-11-07
- Last updated
- 2021-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.