Most Relevant Information
Provider Data
| NPI Number: | 1003809849 |
| Provider Name: | LOWELL CHARLES WARE OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 1255DT |
Most Important Dates
| Enumeration Date: | 08/26/2005 |
| Last Updated: | 11/20/2007 |
Provider Practice Location
952 FAIRVIEW AVE
BOWLING GREEN
KY
421014969
Practice Location Phone/Fax
| Phone: | 2707812220 |
| Fax: | 2707812155 |
Provider Mailing Location
952 FAIRVIEW AVE
BOWLING GREEN
KY
421014938
Provider Mailing Phone/Fax
| Phone: | 2707812220 |
| Fax: | 2707812155 |