Healthcare Provider Details

I. General information

NPI: 1003906595
Provider Name (Legal Business Name): ROBERT LOWERY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

790 CONCOURSE PKWY S STE 200
MAITLAND FL
32751-6114
US

V. Phone/Fax

Practice location:
  • Phone: 860-837-9600
  • Fax:
Mailing address:
  • Phone: 407-767-6411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number82514
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberE-3917
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number176233
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: