Individual provider Active NPI

Kristinia W Cook, O.D.

  • Optometrist
  • Mandeville, LA
National Provider Identifier
1104924588
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1318-453T Issued in LA
Practice address
1844 N Causeway Blvd
Mandeville, LA 70471-3112
Phone
(985) 626-8103
Fax
(985) 626-5571
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1318-453T LA Primary

Addresses

Primary practice location

1844 N Causeway Blvd
Mandeville, LA 70471-3112

Mailing address

1844 N Causeway Blvd
Mandeville, LA 70471-3112
Phone (985) 626-8103

Other names 1

  • Kristi W Cook Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20041207000485 LA Practitioner - Optometry 4284690702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artis Beatty a Professional Optometry Corporation 14 clinicians

Practice addresses (Care Compare)

13322 Hwy 90
Suite L
Boutte, LA 70039-3010
Phone (985) 807-1373

1844 N Causeway Blvd
Mandeville, LA 70471-3112
Phone (985) 327-2230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1318-453TLAMDOptometrist

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Jan 3, 2018 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Jan 3, 2018 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist Past Accepting new patients

Locations

13322 Highway 90
Ste L
Boutte, LA 70039
Phone (985) 785-8484

1844 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 327-2230

3200 Severn Ave
Metairie, LA 70002
Phone (504) 541-9025

8040 Saint Charles Ave
New Orleans, LA 70118
Phone (504) 866-6311

837 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 230-0871

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • LA PPO C-SNP

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1104924588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713112",
            "telephone_number": "985-626-8103",
            "fax_number": "985-626-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713112",
            "telephone_number": "985-626-8103",
            "fax_number": "985-626-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KRISTINIA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1318-453T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "COOK",
            "middle_name": "W",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.