Kentucky Center for Reconstructive Oculoplastic Lacrimal & Orbital Sur

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

26654 Issued in KY

Legal business name

KENTUCKY CENTER FOR RECONSTRUCTIVE OCULOPLASTIC LACRIMAL & ORBITAL SUR

Doing business as

Oculoplastic and Orbital Consultants

Practice address

771 Corporate Dr
Suite 460
Lexington, KY 40503-5405

Phone

(859) 219-0299

Fax

(859) 219-0699

NPI assigned

Sep 20, 2012

Last updated

Oct 22, 2012By 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

David E. Cowen, M.D.NPI 1942397864

Title

Medical Director/Owner

Phone

(859) 219-0299

Specialties & licenses 1

Addresses

Other names 1

• Oculoplastic and Orbital Consultants Doing business as

Medicare fee-for-service enrollment

Enrolled in KY, OH2 enrollments

Enrollment records 2

Locations

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.

• David Eugene Cowen, M.D.

  • Ophthalmology Physician
  • Lexington, KY
  • NPI 1942397864

  OH

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1508117326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 CORPORATE DR",
            "address_2": "SUITE 460",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035405",
            "telephone_number": "859-219-0299",
            "fax_number": "859-219-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 CORPORATE DR",
            "address_2": "SUITE 460",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035405",
            "telephone_number": "859-219-0299",
            "fax_number": "859-219-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CENTER FOR RECONSTRUCTIVE OCULOPLASTIC LACRIMAL & ORBITAL SUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "COWEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "859-219-0299",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "26654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oculoplastic and Orbital Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kentucky Center for Oral & Maxillofacial Surgery
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• Kentucky Center for Orthodontics, PSC
• Kentucky Center for Vision PSC (Koffler Vision Group)
• Kentucky Centers for Infant Maternal and Lactation Care LLC
• Kentucky Children's Hospital
• Kentucky CVS Pharmacy LLC (CVS Pharmacy #17759)
• Kentucky CVS Pharmacy, L.L.C (CVS Pharmacy# 06942)

• Ophthalmology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.