GEORGE MICHAEL BAKOWSKI (NPI# 1679876023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679876023 |
| Entity Type | Individual |
| Full Name | GEORGE MICHAEL BAKOWSKI |
| Credential | O.D. |
| Practice Address |
1133 Saint Vincent Ave Ste 120, Box 216 Shreveport LA 71104-4153 |
| Mailing Address |
1133 St.vincent Avenue Ste 120, Box 216 Shreveport LA 71104-4153 |
| Practice Telephone | 3182218445 |
| Practice Fax Number | 3182272442 |
| Mailing Telephone | 3182218445 |
| Mailing Fax Number | 3182272442 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4061T | TX | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2245 | AR | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 738-359T | LA | Eye and Vision Services Providers |
| Street Address |
1133 SAINT VINCENT AVE STE 120, BOX 216 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-4153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699050849 | Jason Wonch Od and Associates Apc | Eyewear Supplier (Equipment, not the service) | 1133 Saint Vincent Ave, Box 34, Shreveport, LA 71104-4153 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| 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 |
|---|---|---|---|---|
| 1225512296 | Daniel & Max LLC | Optometrist | 1655 E Bert Kouns Industrial Loop Ste 100, Shreveport, LA 71105-5726 | 2018-09-17 |
| 1619353786 | Jessica Lantz | Optometrist | 2530 W Bert Kouns Industrial Loop, Shreveport, LA 71118-7111 | 2015-07-30 |
| 1720464878 | Travis Jones | Optometrist | 2530 Bert Kouns Industrial Loop Ste 116, Shreveport, LA 71118-3153 | 2015-07-30 |
| 1053729152 | Bradly Kendall Larson | Optometrist | 8889 Jewella Ave Ste C, Shreveport, LA 71118-2138 | 2014-08-01 |
| 1871729277 | Amy Elizabeth Coburn | Optometrist | Highland Clinic, Apmc, 1400 E. Bert Kouns, Suite #103, Shreveport, LA 71105 | 2009-06-01 |
| 1336273150 | Charles Dennis Shanks | Optometrist | 7110 Youree Drive, Shreveport, LA 71105 | 2007-03-15 |
| 1730222472 | George M Bakowski Od PC | Optometrist | 1133 St. Vincent Ave # 216 Suite 120, Mall St. Vincent, Shreveport, LA 71104-4147 | 2007-02-14 |
| 1609918945 | Rudolph W. Troup Jr. | Optometrist | 8889 Jewella Ave, Suite D, Shreveport, LA 71118-2138 | 2007-02-13 |
| 1891889267 | Sam Ray Silverblatt | Optometrist | 1803 E 70th St, Shreveport, LA 71105-5301 | 2006-10-03 |
| 1164516340 | Philip A. Lahaye | Optometrist | 7020 Youree Dr Ste A, Shreveport, LA 71105-5109 | 2006-10-03 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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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.