Active NPI
Elizabeth Jean Cockerill, OD
- Optometrist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.005853
- Practice address
- 5141 W Broad St Ste 100
Columbus, OH 43228-1992 - Phone
- (614) 878-1571
- NPI assigned
- Jul 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | OPT.005853 | OH | Primary |
Addresses
Primary practice location
5141 W Broad St Ste 100
Columbus, OH 43228-1992
Mailing address
5141 W Broad St Ste 100
Columbus, OH 43228-1992
Phone (614) 878-1571
Other practice location 1
4830 Knightsbridge Blvd Ste G
Columbus, OH 43214-2300
Phone (614) 488-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4830 Knightsbridge Blvd
Suite G
Columbus, OH 43214-2300
Phone (614) 488-8000
5141 W Broad St
Suite 100
Columbus, OH 43228-1992
Phone (614) 878-1571
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.35 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 14.52
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.07 of 100
- Quality
- 94.4
- Improvement activities
- 40
- Cost
- 74.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.005853 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physicians, LLC | Optometrist | Current | Accepting new patients |
| Eye Physicians, LLC | Current | Accepting new patients | |
| Mid Ohio Ophthalmic Consultants, LTD | Past | Accepting new patients |
Locations
4830 Knightsbridge Blvd
Ste G
Columbus, OH 43214
Phone (614) 488-8000
2929 Kenny Rd
Ste 150
Columbus, OH 43221
Phone (614) 488-8000
855 W Market St
Lima, OH 45805
Phone (419) 228-7432
885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991
Organizations & group practices 6
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.
-
- Ophthalmology Physician
- Columbus, OH
- NPI 1861457863
-
- Ophthalmology Physician
- Columbus, OH
- NPI 1427129352
-
- Ophthalmology Physician
- Powell, OH
- NPI 1598985400
-
- Durable Medical Equipment & Medical Supplies
- Westerville, OH
- NPI 1619570991
-
- Eyewear Supplier
- Columbus, OH
- NPI 1093833626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586563200000",
"number": "1124259064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 W BROAD ST STE 100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281992",
"telephone_number": "614-878-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5141 W BROAD ST STE 100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281992",
"telephone_number": "614-878-1571"
}
],
"practiceLocations": [
{
"address_1": "4830 Knightsbridge Blvd Ste G",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432142300",
"country_code": "US",
"telephone_number": "614-488-8000",
"fax_number": "614-488-8610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COCKERILL",
"first_name": "ELIZABETH",
"middle_name": "JEAN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-27",
"last_updated": "2020-04-11",
"certification_date": "2020-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT.005853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; 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.