MEDICARE: FOWLE EYECARE ASSOCIATES PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4901002906	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	900D166020	OTHER	MI	BCBSM & BLUE CARE NETWORK

General Provider Information

NPI Number	:	1780888081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOWLE EYECARE ASSOCIATES PLC

Provider Business Mailing Address
First Line	:	120 MARCELL DR NE
Second Line	:	SUITE A
City	:	ROCKFORD
State	:	MI
Zip	:	49341-1362
Country	:	US
Telephone Number	:	616-866-0140
Fax Number	:	616-866-8694

Provider Business Practice Location Address
First Line	:	120 MARCELL DR NE
Second Line	:	SUITE A
City	:	ROCKFORD
State	:	MI
Zip	:	49341-1362
Country	:	US
Telephone Number	:	616-866-0140
Fax Number	:	616-866-8694

Authorized Official
Title or Position	:	OWNER
Name	:	GARY J FOLWE
Credential	:	OD
Telephone Number	:	616-866-0140

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	12/15/2020

Similar Medicare Providers

1427020023 — DR. GARY J FOWLE OD
Practice Location Address:

120 MARCELL DR NE , SUITE A
ROCKFORD, MI
49341-1362

Practice Phone: 616-866-0140
Practice Fax: 616-866-8694

1215343124 — DR. ANDREW FOWLE O.D.
Practice Location Address:

120 MARCELL DR NE , SUITE A
ROCKFORD, MI
49341-1362

Practice Phone: 616-866-0140
Practice Fax:

1144146317 — RESILIENCE OSTEOPATHY P.L.L.C.
Practice Location Address:

120 MARCELL DR NE STE C
ROCKFORD, MI
49341-1362

Practice Phone: 231-878-6194
Practice Fax:

1871421347 — ELISE LOVISA COUTURIER
Practice Location Address:

120 MARCELL DR NE STE A
ROCKFORD, MI
49341-1362

Practice Phone: 616-866-0140
Practice Fax: 616-866-8694

1437206745 — PALM & PANEK DDS PC
Practice Location Address:

158 MARCELL DR NE , SUITE B
ROCKFORD, MI
49341-1362

Practice Phone: 616-866-4200
Practice Fax: 616-866-0320

1851433999 — DR. ROYCE G NEWMAN D.C.
Practice Location Address:

120 MARCELL DR NE , SUITE B
ROCKFORD, MI
49341-1362

Practice Phone: 616-866-0150
Practice Fax: 616-866-7771

Directions to “FOWLE EYECARE ASSOCIATES PLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.