San-San Cooley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5854 Issued in OH

Practice address

265 N Liberty St
Powell, OH 43065-8870

Phone

(614) 793-0700

NPI assigned

Aug 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Management Group LLC 43 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Optometric Management Group LLC

  • Optometrist
  • Powell, OH
  • NPI 1265534093

  OH, Optometrist

  Medicare reassignment Care Compare group NPD
• Ohio State University

  • Optometrist
  • Columbus, OH
  • NPI 1710900683

  OH, Optometrist

  Medicare reassignment NPD
• Ohio State University

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1730133729
  NPD

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1033340468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658870",
            "telephone_number": "614-793-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N LIBERTY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658870",
            "telephone_number": "614-793-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "SAN-SAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Family Eyecare
• Comprehensive Imaging Services LLC
• Concerto Ohio LLC
• Harold E Cook III, M.D.
• Robert Duane Cook
• Marc Cooperman, MD
• Core Health Chiropractic, Inc.
• Core Strong Physical Therapy
• Cornerstone Speech Therapy LLC
• Creative Options, LLC

• All providers in Powell, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.