Barry M Kowalik OD PSC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BARRY M KOWALIK OD PSC

Practice address

100 Walton Ave
Danville, KY 40422-8414

Phone

(859) 236-8093

NPI assigned

Jun 26, 2007

Last updated

Aug 22, 2020By 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

Pam McCowan

Title

Office Manager

Phone

(859) 236-8093

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407052491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALTON AVE",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228414",
            "telephone_number": "859-236-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALTON AVE",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228414",
            "telephone_number": "859-236-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY M KOWALIK OD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCOWAN",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "859-236-8093"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77902591",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna Purdom Barker, APRN
• Laura Lee Barker, MSN, RN
• Bill E. Barnett, M.D.
• Jessica Kay Barnett, APRN
• Mark Barrett, MD
• Philip Burke Barsotti, DMD
• Rebecca J Baugh, LPCC
• Rhonda L Beck, PSY.D.
• Barbara Ann Bern, P.A.-C.
• Erin K.S.. Berry, DPT

• Optometrist in Danville, KY
• Providers in Danville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.