Guthrie Eye Care Clinic, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1193 Issued in OK

Legal business name

GUTHRIE EYE CARE CLINIC, INC.

Practice address

2114 W Noble Ave
Guthrie, OK 73044-2116

Phone

(405) 260-2020

Fax

(405) 282-8886

NPI assigned

May 31, 2005

Last updated

Jul 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Todd Cook, O.D.NPI 1417950775

Title

President

Phone

(405) 260-2020

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

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.

• Douglas Todd Cook, O.D.

  • Optometrist
  • Guthrie, OK
  • NPI 1417950775
  Medicare reassignment Care Compare group NPD Authorized official
• Kayla Nicole Cook, OD

  • Optometrist
  • Guthrie, OK
  • NPI 1093395147
  Medicare reassignment Care Compare group NPD
• Lisa Marie Cook, O.D.

  • Optometrist
  • Guthrie, OK
  • NPI 1942203203
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1063415396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 W NOBLE AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730442116",
            "telephone_number": "405-260-2020",
            "fax_number": "405-282-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 W NOBLE AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730442116",
            "telephone_number": "405-260-2020",
            "fax_number": "405-282-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE EYE CARE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-260-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1193",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "043728001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100745070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark E. Gregory, M.D.
• Susan Renae Groom
• Guthrie Cottages, LLC
• Guthrie Cottages, LLC
• Guthrie Dental Group (Comfort Dental of Guthrie)
• Guthrie Home Care Medical Equipment Company LLC
• Guthrie Pharmacy Inc
• Guthrie Surgical Center, LLC
• Guthrie Vision Source PC, Inc.
• Hac Inc (N/a)

• Optometrist in Guthrie, OK
• Providers in Guthrie, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.