Organization Active NPI

Gregory S Cook OD Inc

  • Optometrist
  • Woodward, OK
National Provider Identifier
1023288099
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1130 Issued in OK
Legal business name
GREGORY S COOK OD INC
Practice address
1621 Texas Ave
Woodward, OK 73801-3041
Phone
(580) 256-1288
Fax
(580) 256-7571
NPI assigned
Mar 6, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Gregory Scott Cook, ODNPI 1265500110
Title
Owner
Phone
(580) 256-1288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1130 OK Primary

Addresses

Primary practice location

1621 Texas Ave
Woodward, OK 73801-3041

Mailing address

1621 Texas Ave
Woodward, OK 73801-3041
Phone (580) 256-1288

Other identifiers 1

IdentifierTypeStateIssuer
100760090AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930037474 OK DME Supplier - Physician - Optometrist 5092912345 Practice locations: Woodward, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Gregory S. Cook O.D.1621 Texas St, Woodward, OK 73801-3041(580) 256-1288 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Sep 8, 2008

National Provider Directory

National Provider Directory

Locations

1621 Texas St
Woodward, OK 73801
Phone (580) 256-1288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1023288099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 TEXAS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013041",
            "telephone_number": "580-256-1288",
            "fax_number": "580-256-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 TEXAS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013041",
            "telephone_number": "580-256-1288",
            "fax_number": "580-256-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY S COOK OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-256-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100760090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.