Kayla Nicole Cook, OD
Individual provider Active NPI Optometrist · Guthrie, OK
NPI 1093395147 · NPPES record last updated Jun 4, 2022
Key facts
- NPI
- 1093395147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3119 (OK)
- Practice address
- 2114 W Noble Ave
Guthrie, OK 73044 - Phone
- (405) 260-2020
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Eye Care Clinic, Inc.
Practice addresses (Care Compare)
2114 W Noble Ave
Guthrie, OK 73044-2116
Phone (405) 260-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210805000882 | OK | Practitioner - Optometry | 9537563028 | Reassigns benefits to 1 organization |
| I20211023000024 | TX | Practitioner - Optometry | 9537563028 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10362 | TX | MD | Neurology Chiropractor |
| 10362T | TX | MD | Optometrist |
| 3119 | OK | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Eye Care Clinic, Inc. | Optometrist | Current |
Accepting new patients |
| RGB Eye Associates,PA | Current |
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
- kalie.jones@clayrhynes.eyefinity-direct.com
- dr.kayla.cook@clayrhynes.eyefinity-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10362T | TX | |
| Optometrist | 152W00000X | 3119 | OK | Yes |
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
Other providers in Guthrie, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.