Individual provider Active NPI

Erin Swichkow Cooper, O.D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1013297910
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4609 Issued in FL
Practice address
13602 N 46TH St
Tampa, FL 33613-4931
Phone
(813) 972-4444
Fax
(813) 979-1600
NPI assigned
Aug 23, 2011
Last updated
Mar 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD3274 TN
Optometrist 152W00000X OPC4609 FL Primary

Addresses

Primary practice location

13602 N 46TH St
Tampa, FL 33613-4931

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505

Other identifiers 1

IdentifierTypeStateIssuer
Q023205MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111202000192 FL Practitioner - Optometry 0840465852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory L Henderson MD Facs IncGroup PAC ID 9739172321, 31 clinicians

Practice addresses (Care Compare)

711 S Howard Ave
Suite 120
Tampa, FL 33606-2467
Phone (813) 708-5270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4609FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory L Henderson MD Facs Inc Optometrist Current Accepting new patients
Florida Medical Clinic, LLC CurrentSince Feb 1, 2019 Accepting new patients
Florida Medical Clinic LLC CurrentSince Feb 1, 2019 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Samuel J Teske OD PA Optometrist Past Accepting new patients
Gregory L Henderson MD Facs Inc Past Accepting new patients
Sam Teske OD PA Optometrist Past Accepting new patients

Locations

135 W Robertson St
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

6152 Delancey Station St
Riverview, FL 33578
Phone (813) 693-6955

6152 Delancey Station St
Ste 101
Riverview, FL 33578
Phone (813) 643-7300

13602 N 46th St
Tampa, FL 33613
Phone (813) 284-2255

711 S Howard Ave
Ste 120
Tampa, FL 33606
Phone (813) 254-2020

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Networks

  • FL HMO
  • FL HMO D-SNP
  • FL PPO
  • Freedom Health HMO Network
  • FL HMO C-SNP

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1013297910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13602 N 46TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134931",
            "telephone_number": "813-972-4444",
            "fax_number": "813-979-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ERIN",
        "middle_name": "SWICHKOW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD3274",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q023205",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.