Organization
OPTIX LASER & EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS L COWART (OWNER)
(770) 537-5246
Entity
Organization
Contact information
Practice address
207 CHESTNUT STREET, BREMEN, GA 30110
(770) 537-5246
(770) 537-1313
Mailing address
207 CHESTNUT STREET, BREMEN, GA 30110
(770) 537-5246
(770) 537-1313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
000902
GA
207W00000X
Ophthalmology Physician
Primary
057389
GA
Other
Enumeration date
07/11/2008
Last updated
07/15/2008
Update your record
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