Active NPI
Thomas Michael Cossick, OD
- Optometrist
- Buford, GA
National Provider Identifier
1710192166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000994
- Practice address
- 3300 Hamilton Mill Rd
Suite 105
Buford, GA 30519 - Phone
- (770) 271-3500
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1730 | FL | |
| Optometrist | 152W00000X | OPT000994 | GA | Primary |
| Optometrist | 152W00000X | 710 | SC |
Addresses
Primary practice location
3300 Hamilton Mill Rd
Suite 105
Buford, GA 30519
Mailing address
PO Box 921385
Norcross, GA 30010
Phone (770) 875-4856
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1730 | FL | MD | Optometrist |
| OPT000994 | GA | MD | Optometrist |
| 710 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Mill Eyecare Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Buford, GA
- NPI 1548354392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710192166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 921385",
"city": "NORCROSS",
"state": "GA",
"postal_code": "30010",
"telephone_number": "770-875-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 HAMILTON MILL RD",
"address_2": "SUITE 105",
"city": "BUFORD",
"state": "GA",
"postal_code": "30519",
"telephone_number": "770-271-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSSICK",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "1730",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000994",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "710",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.