Individual provider Active NPI

Andrew G. Cook Jr., OD

  • Optometrist
  • Garner, NC
National Provider Identifier
1063413607
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1043 Issued in NC
Practice address
1003 Vandora Springs Rd
Garner, NC 27529-3545
Phone
(919) 772-4575
NPI assigned
Aug 4, 2005
Last updated
Nov 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1043 NC Primary

Addresses

Primary practice location

1003 Vandora Springs Rd
Garner, NC 27529-3545

Mailing address

1003 Vandora Springs Rd
Garner, NC 27529-3545
Phone (919) 772-4575

Other identifiers 6

IdentifierTypeStateIssuer
09176OtherNCBCBS, STATE, NC HEALTHCH
410021048OtherNCRAILROAD MEDICARE
8909176MedicaidNC
4458483OtherNCAETNA
2255655OtherNCUHC
246395BOtherNCPALMETTO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120214000722 NC Practitioner - Optometry 5294849634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1003 Vandora Springs Rd
Garner, NC 27529-3545
Phone (919) 772-4575

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1043NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Feb 28, 2014 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Feb 28, 2014 Accepting new patients

Locations

2042 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 851-0093

2346 Walnut St
Cary, NC 27518
Phone (919) 851-0093

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

11761 US Highway 70 Bus W
Ste 25
Clayton, NC 27520
Phone (919) 553-5600

1003 Vandora Springs Rd
Garner, NC 27529
Phone (919) 772-4575

7075 White Oak Rd
Garner, NC 27529
Phone (919) 282-0053

1001 Widewaters Pkwy
Knightdale, NC 27545
Phone (919) 266-6999

2024 Cameron St
Raleigh, NC 27605
Phone (919) 862-2015

3214 Charles B Root Wynd
Ste 120
Raleigh, NC 27612
Phone (919) 881-0900

3905 New Bern Ave
Raleigh, NC 27610
Phone (919) 231-6040

4325 Glenwood Ave
Ste 2103
Raleigh, NC 27612
Phone (919) 781-0904

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

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": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1063413607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 VANDORA SPRINGS RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293545",
            "telephone_number": "919-772-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 VANDORA SPRINGS RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293545",
            "telephone_number": "919-772-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANDREW",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, STATE, NC HEALTHCH",
            "identifier": "09176",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410021048",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909176",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4458483",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2255655",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "246395B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.