Optix Laser & Eye Center LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

057389 Issued in GA

Legal business name

OPTIX LASER & EYE CENTER LLC

Practice address

207 Chestnut Street
Bremen, GA 30110

Phone

(770) 537-5246

Fax

(770) 537-1313

NPI assigned

Jul 11, 2008

Last updated

Jul 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dennis L CowartNPI 1376737486

Title

Owner

Phone

(770) 537-5246

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Lee Cowart, OD

  • Optometrist
  • Bremen, GA
  • NPI 1376737486
  NPD Authorized official

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1336303148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CHESTNUT STREET",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "30110",
            "telephone_number": "770-537-5246",
            "fax_number": "770-537-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CHESTNUT STREET",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "30110",
            "telephone_number": "770-537-5246",
            "fax_number": "770-537-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIX LASER & EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "COWART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-537-5246",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "000902",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "057389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Georgia Oncology Centers, PC
• Steve O Odeh, M.D
• Foluso Odeyemi
• Samuel L Ogden, MD
• Optiks Inc (Dennis L Cowart)
• Lori Lynn Parada
• Brandi Lee Parker, PA-C
• William E Parrish, MD
• Robert Andrew Patrick, CRNA
• Elizabeth Pennington, PHARMD

• Ophthalmology Physician in Bremen, GA
• Providers in Bremen, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.