Active NPI
Denise Marie Dobbins Kowalik, OD
- Optometrist
- Danville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1170DT
- Practice address
- 1541 Lebanon Rd Ste 2
Danville, KY 40422-8349 - Phone
- (859) 239-4500
- NPI assigned
- Jan 31, 2007
- Last updated
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1170DT | KY | Primary |
Addresses
Primary practice location
1541 Lebanon Rd Ste 2
Danville, KY 40422-8349
Mailing address
PO Box 990
Danville, KY 40423-0990
Phone (859) 239-2360
Other practice location 1
100 Walton Ave
Danville, KY 40422-8414
Phone (859) 236-8093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.36 of 100
- Quality
- 64.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1170DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ephraim McDowell Health Resource, Inc | Current | Accepting new patients | |
| Ephraim McDowell Health Resource, Inc. | Optometrist | Current | Accepting new patients |
| Ephraim McDowell Health Resource, Inc. | Current | Accepting new patients | |
| Ephraim McDowell Health Resource, Inc. | Past | Accepting new patients |
Locations
109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361
1541 Lebanon Rd
Ste 2
Danville, KY 40422
Phone (859) 239-4500
216 W Walnut St
Ste B
Danville, KY 40422
Phone (859) 239-4840
217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Danville Family Physicians
- Family Medicine Physician
- Danville, KY
- NPI 1487708533
-
dba Ephraim McDowell Specialty Services
- Endocrinology, Diabetes & Metabolism Physician
- Danville, KY
- NPI 1174484463
-
dba Ephraim McDowell Eye and Vision Center
- Ophthalmology Physician
- Danville, KY
- NPI 1487116471
Optometrist
-
dba Ephraim McDowell Vascular
- Medical Specialty Clinic/Center
- Danville, KY
- NPI 1437482072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1235276163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 990",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404230990",
"telephone_number": "859-239-2360",
"fax_number": "859-239-6785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 LEBANON RD STE 2",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404228349",
"telephone_number": "859-239-4500"
}
],
"practiceLocations": [
{
"address_1": "100 Walton Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "KY",
"postal_code": "404228414",
"country_code": "US",
"telephone_number": "859-236-8093",
"fax_number": "859-236-8893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBBINS KOWALIK",
"first_name": "DENISE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1170DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
- Dialysis Clinic Inc.
- Dialysis Clinic Inc.
- Jeremy T Dickinson, M.D.
- Anna Marie Greene Diggs, M.A., CCC-SLP
- DJR2 Professional Limited Liability Company (Danville Pediatric Dentistry Downtown)
- Julie Marie Donahue
- McKenzie Dale Dossett, HIS
- Jonathan Michael Doty, M.D.
- Amanda Dowell, RPH
- Carmen Cecelia Downing, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.