Individual provider Active NPI

Dennis E. Cowley, O.D.

  • Optometrist
  • Winamac, IN
National Provider Identifier
1295712271
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001865B Issued in IN
Practice address
633 E 13TH St
Winamac, IN 46996-1157
Phone
(574) 946-3944
Fax
(574) 946-6843
NPI assigned
Dec 29, 2005
Last updated
Feb 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001865B IN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001865BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer M Gudas OD, PC Optometrist PastSince Jan 2, 2012 Accepting new patients
Dr. Dennis E. Cowley, P.C. Optometrist PastSince May 26, 1993 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1295712271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E 13TH ST",
            "address_2": "P.O. BOX 365",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961157",
            "telephone_number": "574-946-3944",
            "fax_number": "574-946-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E 13TH ST",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961157",
            "telephone_number": "574-946-3944",
            "fax_number": "574-946-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLEY",
        "first_name": "DENNIS",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001865B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winamac, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.