Cook Family Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

COOK FAMILY EYECARE PLLC

Practice address

574 W 1600 N
Orem, UT 84057-2556

Phone

(801) 210-9339

Fax

(801) 960-2887

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Jeffrey George Cook, ODNPI 1932541489

Title

Owner

Phone

(208) 360-3371

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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.

• Jeffrey George Cook, O.D.

  • Optometrist
  • Orem, UT
  • NPI 1932541489
  Medicare reassignment NPD Authorized official
• Jett Scrimsher, OD

  • Optometrist
  • Hayden, ID
  • NPI 1912524513

  UT

  Medicare reassignment NPD

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1063166114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N 190 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046218",
            "telephone_number": "208-360-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 W 1600 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572556",
            "telephone_number": "801-210-9339",
            "fax_number": "801-960-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK FAMILY EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-360-3371",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Conlin
• Abigail Ryan Conover
• Emma Rene Conover
• Conti-Care, LLC
• Kerry Conway
• Breeanna Cook
• Jeffrey George Cook, O.D.
• Kevin Cook, LCSW
• Kelli D Coombs, M.A., CCC-SLP
• Cassandra Cooper

• Optometrist in Orem, UT
• Providers in Orem, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.