Individual provider Active NPI

Kayla Nicole Cook, OD

  • Optometrist
  • Guthrie, OK
National Provider Identifier
1093395147
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3119 Issued in OK
Practice address
2114 W Noble Ave
Guthrie, OK 73044
Phone
(405) 260-2020
NPI assigned
Apr 13, 2021
Last updated
Jun 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10362T TX
Optometrist 152W00000X 3119 OK Primary

Addresses

Primary practice location

2114 W Noble Ave
Guthrie, OK 73044

Mailing address

2114 W Noble Ave
Guthrie, OK 73044-2116
Phone (405) 260-2020

Other practice location 1

1901 W University Blvd
Durant, OK 74701-3098
Phone (580) 920-2020

Other practice location 2

1625 N US Highway 75
Sherman, TX 75090-2815
Phone (903) 892-3282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210805000882 OK Practitioner - Optometry 9537563028 Reassigns benefits to 1 organization
I20211023000024 TX Practitioner - Optometry 9537563028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Eye Care Clinic, Inc.Group PAC ID 2062530322, 3 clinicians

Practice addresses (Care Compare)

2114 W Noble Ave
Guthrie, OK 73044-2116
Phone (405) 260-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10362TXMDNeurology Chiropractor
10362TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Eye Care Clinic, Inc. Optometrist CurrentSince Jun 13, 2022 Accepting new patients
RGB Eye Associates,PA CurrentSince Oct 1, 2021 Accepting new patients

Locations

1901 W University Blvd
Durant, OK 74701
Phone (580) 920-2020

2114 W Noble Ave
Guthrie, OK 73044
Phone (405) 260-2020

1625 N US Highway 75
Sherman, TX 75090
Phone (214) 369-0555

Interoperability endpoints

  • Direct secure messaging: dr.kayla.cook@clayrhynes.eyefinity-direct.com
  • Direct secure messaging: kalie.jones@clayrhynes.eyefinity-direct.com

Organizations & group practices 2

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1093395147",
    "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": "73044",
            "telephone_number": "405-260-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747013098",
            "country_code": "US",
            "telephone_number": "580-920-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 N US Highway 75",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750902815",
            "country_code": "US",
            "telephone_number": "903-892-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10362T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guthrie, OK

Sources for this page

Verify at the official NPI Registry.