Individual provider Active NPI

James Brian Cogar, O.D.

  • Optometrist
  • Auburn, NY
National Provider Identifier
1639289523
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003728-1 Issued in NY
Practice address
187 Genesee St
Auburn, NY 13021-3310
Phone
(315) 252-5711
Fax
(315) 252-8171
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV003728-1 NY Primary

Addresses

Primary practice location

187 Genesee St
Auburn, NY 13021-3310

Mailing address

187 Genesee St
Auburn, NY 13021-3310
Phone (315) 252-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV003728-1NYMDOptometrist
3728NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1639289523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213310",
            "telephone_number": "315-252-5711",
            "fax_number": "315-252-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213310",
            "telephone_number": "315-252-5711",
            "fax_number": "315-252-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGAR",
        "first_name": "JAMES",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003728-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.