Active NPI
Kristinia W Cook, O.D.
- Optometrist
- Mandeville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1318-453T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1318-453T | LA | MD | Optometrist |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artis Beatty a Professional Optometry Corporation | Optometrist | Current | Accepting new patients |
| Artis Beatty a Professional Optometry Corporation | Optometrist | Current | 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.
-
- Optometrist
- Jefferson, LA
- NPI 1912416355
LA, Optometrist
-
- Optometrist
- Slidell, LA
- NPI 1780317917
-
- Optometrist
- Boutte, LA
- NPI 1013426451
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.