George M Bakowski OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

738-359T Issued in LA

Legal business name

GEORGE M BAKOWSKI OD PC

Practice address

1133 St. Vincent Ave # 216 Suite 120
Mall St. Vincent
Shreveport, LA 71104-4147

Phone

(318) 221-8445

Fax

(318) 227-2442

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sandy Bakowski

Title

Office Manager

Phone

(318) 227-2451

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Michael Bakowski, O.D.

  • Optometrist
  • Shreveport, LA
  • NPI 1679876023
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1730222472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 ST. VINCENT AVE. # 216 SUITE 120",
            "address_2": "MALL ST. VINCENT",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711044147",
            "telephone_number": "318-221-8445",
            "fax_number": "318-227-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 ST. VINCENT AVE # 216 SUITE 120",
            "address_2": "MALL ST. VINCENT",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711044147",
            "telephone_number": "318-221-8445",
            "fax_number": "318-227-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE M BAKOWSKI OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "BAKOWSKI",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-227-2451",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "738-359T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1150614",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gentry Haughton LLC
• Gentry Haughton, LLC
• Gregory H Gentry, LAC
• Janet Gentry, MSCP
• Tina Faith Gentry, PA
• Altaurus George
• Demetrius George
• Gloria Joann George
• Jasmine George
• John Fisher George Jr., M.D.

• Optometrist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.