Joseph Bakowski Optometrist PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4426TG Issued in TX

Legal business name

JOSEPH BAKOWSKI OPTOMETRIST PLLC

Practice address

1836 S Main St
Ste 101
Weatherford, TX 76086-5506

Phone

(817) 596-7007

Fax

(817) 596-4468

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By 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

Joseph Bakowski, OD

Title

Owner/OD

Phone

(817) 596-7007

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1538600150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 S MAIN ST",
            "address_2": "STE 101",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865506",
            "telephone_number": "817-596-7007",
            "fax_number": "817-596-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 S MAIN ST",
            "address_2": "STE 101",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865506",
            "telephone_number": "817-596-7007",
            "fax_number": "817-596-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH BAKOWSKI OPTOMETRIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "BAKOWSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "817-596-7007",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4426TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1891730131",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.