Dennis E. Cowley, O.D.
Individual provider Active NPI Optometrist · Winamac, IN
NPI 1295712271 · NPPES record last updated Feb 26, 2008
Key facts
- NPI
- 1295712271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18001865B (IN)
- Practice address
- 633 E 13TH St
Winamac, IN 46996-1157 - Phone
- (574) 946-3944
- Fax
- (574) 946-6843
- NPI assigned
- Dec 29, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001865B | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Dennis E. Cowley, P.C. | Optometrist | Past |
Accepting new patients |
| Jennifer M Gudas OD, PC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001865B | IN | Yes |
Addresses
Primary practice location
633 E 13TH St
Winamac, IN 46996-1157
Mailing address
633 E 13TH St
P.O. Box 365
Winamac, IN 46996-1157
Phone (574) 946-3944
Other providers in Winamac, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.