JOSEPH BAKOWSKI (NPI# 1891730131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891730131 |
| Entity Type | Individual |
| Full Name | JOSEPH BAKOWSKI |
| Credential | OD |
| Practice Address |
1836 S Main St Suite 101 Weatherford TX 76086-5561 |
| Mailing Address |
1836 S Main St Ste 101 Weatherford TX 76086-5561 |
| Practice Telephone | 8175967007 |
| Practice Fax Number | 8175964468 |
| Mailing Telephone | 8175967007 |
| Mailing Fax Number | 8175964468 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 04426T | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0082FH | 01 |
| Street Address |
1836 S MAIN ST SUITE 101 |
| City | WEATHERFORD |
| State | TX |
| Zip Code | 76086-5561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285817 | Kellie Dawn Spurlock | Pharmacist | 1836 S Main St, Weatherford, TX 76086-5506 | 2020-11-04 |
| 1124628730 | Kendall Eugene Anderson | Pharmacist | 1836 S Main St, Weatherford, TX 76086-5506 | 2020-11-01 |
| 1538600150 | Joseph Bakowski Optometrist Pllc | Optometrist | 1836 S Main St, Ste 101, Weatherford, TX 76086-5506 | 2017-03-15 |
| 1790952075 | Rediclinic Us, LLC | Clinic/Center | 1836 S Main St, Weatherford, TX 76086-5506 | 2008-05-15 |
| 1184707648 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1836 S Main St, Weatherford, TX 76086-5506 | 2006-10-20 |
| 1134146384 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1836 S Main St, Weatherford, TX 76086-5506 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434810 | Beverly Diana Blair | Licensed Vocational Nurse | 870 Columbia Drive, Weatherford, Weatherford, TX 76086 | 2020-07-20 |
| 1275027385 | Star Family Medicine Pllc | Family Medicine | 933 Hilltop Dr Ste 100, Weatherford, TX 76086 | 2018-06-21 |
| 1174011324 | Anuj Yogesh Vyas | Student in an Organized Health Care Education/Training Program | Medical City Weatherford 713 E. Anderson, Weatherford, TX 76086 | 2018-04-24 |
| 1003321068 | Kleven Chiropractic, LLC | Chiropractor | 925 Santa Fe Drive, Suite #111, Weatherford, TX 76086 | 2017-12-12 |
| 1417471467 | Weatherford Health Services, LLC | General Acute Care Hospital | 713 East Anderson Street, Weatherford, TX 76086 | 2017-08-01 |
| 1710401021 | Kyle Evan Meason | Dentist | 2035 Fort Worth Hwy Ste 600, Weatherford, TX 76086 | 2017-07-28 |
| 1457898520 | Apmd LLC | Clinic/Center | 110 W I-20 Frontage Rd, Suite 130, Weatherford, TX 76086 | 2017-01-26 |
| 1861934887 | Laura Neel | Occupational Therapist | 250 Sante Fe Dr, Weatherford, TX 76086 | 2016-11-08 |
| 1588022040 | Heather Goddard | Nurse Practitioner | 920 Sante Fe Drive, Weatherford, TX 76086 | 2016-01-29 |
| 1689049413 | The Dermatology Spot Pllc | Dermatology | 1841 Martin Dr, 200, Weatherford, TX 76086 | 2015-12-04 |
| Find all providers in zip 76086 | ||||
| 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 |
|---|---|---|---|---|
| 1841522695 | Dr. Arlyn R. Fansler, Optometrist, Inc | Optometrist | 621 E Tom Stafford St, Weatherford, OK 73096-5431 | 2010-02-04 |
| 1427260256 | Paul C. Tisdal, O.d., P.C. | Optometrist | 1545 N. Washington Ave, Weatherford, OK 73096 | 2007-05-04 |
| 1083758833 | Stephen Gregory Lanier | Optometrist | 150 College Park Dr, Weatherford, TX 76086-6212 | 2007-02-16 |
| 1043389125 | Arlyn Ralph Fansler | Optometrist | 621 East Tom Stafford Street, Weatherford, OK 73096 | 2006-11-06 |
| 1174567234 | Ira Herman | Optometrist | 215 Adams Dr Ste 201, Weatherford, TX 76086-6739 | 2006-06-16 |
| 1760430938 | Paul C. Tisdal | Optometrist | 1545 N. Washington, Weatherford, OK 73096-0308 | 2006-05-04 |
| 1851396873 | Dwight Charles Shreck | Optometrist | 500 N Washington Ave. Box 829, Weatherford, OK 73096-0829 | 2005-06-16 |
| 1750844858 | National Vision Inc | Optometrist | 1940 S Main St, Weatherford, TX 76086-5508 | 2019-04-08 |
| 1538600150 | Joseph Bakowski Optometrist Pllc | Optometrist | 1836 S Main St, Ste 101, Weatherford, TX 76086-5506 | 2017-03-15 |
| 1891935888 | Dwight C Shreck Od | Optometrist | 500 N Washington St, Weatherford, OK 73096-5700 | 2009-03-03 |
| Find all providers in WEATHERFORD | ||||
| City | WEATHERFORD |
| Zip Code | 76086 |
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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.