Organization
OPTIKS INC
Active
Other names
Dennis L Cowart
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS L COWART OD (OPTOMETRIST)
(770) 537-5246
Entity
Organization
Contact information
Practice address
207 CHESTNUT ST, BREMEN, GA 30110-2021
(770) 537-5246
(770) 537-1313
Mailing address
207 CHESTNUT ST, BREMEN, GA 30110-2021
(770) 537-5246
(770) 537-1313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000902
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000204256A
—
GA
01
—
2784905
UNITED HEALTH CARE
GA
05
—
585146283G
—
GA
01
—
6985178
CIGNA
GA
01
—
713909
COVENTRY
GA
01
—
7369863
AETNA
GA
Enumeration date
12/19/2006
Last updated
06/19/2014
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