Jeremy S Kow, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002648 Issued in GA

Practice address

1757 E West Connector
Suite 400
Austell, GA 30106-1251

Phone

(770) 941-2220

Fax

(770) 941-4445

NPI assigned

Aug 11, 2011

Last updated

Aug 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Austell Vision Center, Inc.Group PAC ID 4789732868, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Austell Vision Center, Inc.

  • Optometrist
  • Austell, GA
  • NPI 1912145301
  Medicare reassignment Care Compare group NPD
• Austell Eyecare Inc

  • Optometrist
  • Austell, GA
  • NPI 1730548454
  Authorized official Same address or phone

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1427337120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 E WEST CONNECTOR",
            "address_2": "SUITE 400",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061251",
            "telephone_number": "770-941-2220",
            "fax_number": "770-941-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 E WEST CONNECTOR",
            "address_2": "SUITE 400",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061251",
            "telephone_number": "770-941-2220",
            "fax_number": "770-941-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOW",
        "first_name": "JEREMY",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "OPT002648",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel B Kohn, MD
• Oghaleoghene Kolo, NP
• Marie-Louise Kombe Biggers, NP
• Kountz Wellness Collective Co. LLC (Kountz Wellness)
• Vernette C Kountz, DC
• Alexandra Krawczuk-Smith, MD
• Douglas Krug
• Lynn D Kunkel, CNP
• Preethy Kuriakose, PA
• Leona Kelechi Kwazemem, PMHNP

• Optometrist in Austell, GA
• Providers in Austell, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.

Verify at the official NPI Registry.