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Active NPI 1871532754 Individual Practitioner Male Practitioner

Dr. Samuel Todd Bowman , OD

Optometrist • Ponte Vedra Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Bowman, OD is a registered healthcare professional specializing in Optometrist in Ponte Vedra Beach, FL. Practice services are available at 120 A1A N STE 101 under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 A1a N Ste 101

Ponte Vedra Beach, FL 320826626

Telephone 9042809000
Fax 9042804448
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Ponte Vedra Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Ponte Vedra Beach, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
206 206 $124.00 $119.47
99213 Established patient office or other outpatient visit, typically 15 minutes
111 72 $77.00 $76.02
92134 Imaging of retina
59 58 $120.00 $38.38
92133 Imaging of optic nerve
37 36 $120.00 $33.66
68761 Closure of tear duct opening using plug
28 11 $220.00 $103.24
92083 Exam of visual field with extended testing
21 21 $109.00 $59.88

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL 2264

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
20126 (FL)
Commercial Insurance / Payer ID Bcbs
20126A

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1538401476

Doctor of Optometry

NPI 1801853296

Doctor of Optometry

Dawson Hey

Optometrist

NPI 1821935065

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 22, 2018

Registered at 120 A1A N STE 101, PONTE VEDRA BEACH, FL 320826626 (Tel: 9042809000)

📍
Updated Business Mailing Address March 22, 2018

Registered at 120 A1A N STE 101, PONTE VEDRA BEACH, FL 320826626 (Tel: 9042809000)

NPI Profile Active July 09, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2015

Registered at 806 RIVERSIDE AVE, SUITE 100, JACKSONVILLE, FL 322043337 (Tel: 9043567101)

📍
Updated Business Mailing Address July 09, 2015

Registered at 806 RIVERSIDE AVE, SUITE 100, JACKSONVILLE, FL 322043337 (Tel: 9043567101)

👤
Provider Name / Credentials Updated July 09, 2015

Recorded as SAMUEL BOWMAN, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2015

Optometrist (License #2264 in FL)

🟢
Initial NPI Registration & Enumeration June 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871532754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: March 22, 2018
Sole Proprietor: No

Mailing Address

120 A1a N Ste 101

Ponte Vedra Beach, FL 320826626

Phone: 9042809000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.