DR. JOHNNY LEE COSBY (NPI# 1528038296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528038296 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY LEE COSBY |
| Credential | OD |
| Practice Address |
1801 Fuller Rd Ste A01 Meridian MS 39309 |
| Mailing Address |
4149 Canoe Trl Ne Bremerton WA 98311-9403 |
| Practice Telephone | 6016792213 |
| Mailing Telephone | 3603088396 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2019-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | S992TA577 | AL | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Boone Rd, Bremerton, WA 983121894 | 3604754144 |
| Street Address |
1801 FULLER RD STE A01 |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093863433 | Angeles L Ballou | Nurse Practitioner | Nbhc Nas Meridian, 1801 Fuller Road Bldg 367, Meridian, MS 39309-0001 | 2007-01-08 |
| 1194705665 | Bonnie Roberts Chavez | Psychologist | Naval Branch Health Clinic, 1801 Fuller Rd. Suite A-01 Bldg 367, Meridian, MS 39309-0001 | 2006-01-19 |
| 1861472748 | Karlyna L. D. Andersen | Family Medicine | Naval Branch Health Clinic, 1801 Fuller Rd. Suite A-01 Bldg 367, Meridian, MS 39309-0001 | 2006-01-18 |
| 1477533255 | Craig Morgenstern | Family Medicine | Naval Branch Health Clinic, 1801 Fuller Road, Suite A-01, Bldg 367, Meridian, MS 39309-0001 | 2006-01-18 |
| 1568545556 | Angela Mcdonald | Nurse Practitioner | Nbhc Meridian 1801 Fuller St Bldg 367, Meridian, MS 39309-3107 | 2006-10-23 |
| 1265843155 | Patricia Everette | Social Worker | 1155 Rosenbaum Ave, Building 405, Naval Air Station, Meridian, MS 39309-5062 | 2014-05-13 |
| 1972583664 | Rowland Eugene Mccoy | Dentist | 1801 Fuller Rd, Bldg 367, Meridian, MS 39309-5106 | 2006-01-19 |
| 1245210269 | Ann Louise Lagreco | Dentist | Naval Branch Health Clinic, 1801 Fuller Rd Ste A-01, Meridian, MS 39309-5106 | 2006-01-17 |
| 1609076033 | Branch Medical Clinic Meridian | Clinic/Center | 1801 Fuller Rd, Meridian, MS 39309-5106 | 2007-07-24 |
| 1851592067 | Montoya Demont Gunn | Military Health Care Provider | 1801 Fuller Rd, Suite A-01, Meridian, MS 39309-5106 | 2007-05-29 |
| Find all providers in zip 39309 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252609 | Primary Eyecare South LLC | Optometrist | 1217 S Frontage Rd Ste E, Meridian, MS 39301-6124 | 2020-07-22 |
| 1538792551 | Eyes On Meridian LLC | Optometrist | 119 E Calderwood Dr, Meridian, ID 83642-7482 | 2020-02-18 |
| 1952703209 | Reservoir Eye Care Clinic Pllc | Optometrist | 536 Lindley Rd, Meridian, MS 39305-2301 | 2014-09-18 |
| 1881011526 | Meridian Eye Care, LLC | Optometrist | 5002 Highway 39 N Bldg B, Meridian, MS 39301-1078 | 2014-03-19 |
| 1073814737 | Carter Vision Care, Pllc | Optometrist | 1157 E Puffin St, Meridian, ID 83642-7444 | 2010-11-11 |
| 1265749493 | William Paul Schilling | Optometrist | 795 W Overland Rd, Meridian, ID 83642 | 2010-09-09 |
| 1376705293 | Luke A Randall | Optometrist | 1540 W Cayuse Creek Dr, Meridian, ID 83646-4795 | 2008-07-01 |
| 1578757076 | Primary Eyecare & Optical of Meridian, P.a. | Optometrist | 4721 26th Ave., Meridian, MS 39305 | 2007-08-29 |
| 1770776353 | Melissa Ann Fowler | Optometrist | 1715 S Wells Ave # 100, Meridian, ID 83642-5066 | 2007-08-27 |
| 1316013691 | The Eye Associates, P.a. | Optometrist | 2620 S Eagle Rd, Meridian, ID 83642-6704 | 2006-11-28 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.