Organization Active NPI

Optiks Inc

  • Optometrist
  • Bremen, GA
National Provider Identifier
1710041553
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT000902 Issued in GA
Legal business name
OPTIKS INC
Practice address
207 Chestnut St
Bremen, GA 30110-2021
Phone
(770) 537-5246
Fax
(770) 537-1313
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Dr. Dennis L Cowart, OD
Title
Optometrist
Phone
(770) 537-5246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT000902 GA Primary

Addresses

Primary practice location

207 Chestnut St
Bremen, GA 30110-2021

Mailing address

207 Chestnut St
Bremen, GA 30110-2021
Phone (770) 537-5246

Other identifiers 6

IdentifierTypeStateIssuer
585146283GMedicaidGA
6985178OtherGACIGNA
2784905OtherGAUNITED HEALTH CARE
000204256AMedicaidGA
713909OtherGACOVENTRY
7369863OtherGAAETNA

Other names 1

  • Dennis L Cowart Doing business as

National Provider Directory

National Provider Directory

Locations

207 Chestnut St
Bremen, GA 30110
Phone (770) 537-5246

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1710041553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CHESTNUT ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102021",
            "telephone_number": "770-537-5246",
            "fax_number": "770-537-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CHESTNUT ST",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301102021",
            "telephone_number": "770-537-5246",
            "fax_number": "770-537-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "COWART",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-537-5246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "585146283G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6985178",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2784905",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000204256A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "713909",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7369863",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis L Cowart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bremen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.