Active NPI
Clifton M. Cowan, O.D.
- Corneal and Contact Management Optometrist
- Leesville, LA
National Provider Identifier
1811980600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 953-128T
- Practice address
- 1100 N. 5TH St.
Leesville, LA 71446-3464 - Phone
- (337) 239-2020
- Fax
- (337) 239-0755
- NPI assigned
- Aug 26, 2005
- Last updated
- Oct 20, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 953-128T | LA | Primary |
Addresses
Primary practice location
1100 N. 5TH St.
Leesville, LA 71446-3464
Mailing address
PO Box 681
Leesville, LA 71496-0681
Phone (337) 239-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1342262 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 N 5TH St
Leesville, LA 71446-2910
Phone (337) 239-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Vision Clinic, Inc | Corneal and Contact Management | Current | Accepting new patients |
Locations
1100 N 5th St
Leesville, LA 71446
Phone (318) 239-2020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224460800000",
"number": "1811980600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714960681",
"telephone_number": "337-239-2020",
"fax_number": "337-239-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N. 5TH ST.",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714463464",
"telephone_number": "337-239-2020",
"fax_number": "337-239-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "CLIFTON",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2008-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "LA",
"license": "953-128T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1342262",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.