Cooper Free, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3220 Issued in OK

Practice address

1009 Texas St
Woodward, OK 73801-3127

Phone

(580) 254-8020

Fax

(580) 254-8377

NPI assigned

Jul 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frederick Eye Care PLLCGroup PAC ID 3779688171, 2 clinicians

Weatherford Eyecare Center, PLLCGroup PAC ID 0749305928, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Frederick Eye Care PLLC

  • Optometrist
  • Frederick, OK
  • NPI 1164585758
  Medicare reassignment Care Compare group NPD
• Weatherford Eyecare Center, PLLC

  • Primary Care Clinic/Center
  • Weatherford, OK
  • NPI 1154500890

  Optometrist

  Medicare reassignment Care Compare group NPD
• Frederick Eye Care PLLC

  • Optometrist
  • Woodward, OK
  • NPI 1265760680
  NPD
• Paul C. Tisdal, O.D., P.C.

  • Optometrist
  • Weatherford, OK
  • NPI 1427260256
  NPD (past)

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1134800071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 TEXAS ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013127",
            "telephone_number": "580-254-8020",
            "fax_number": "580-254-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 TEXAS ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013127",
            "telephone_number": "580-254-8020",
            "fax_number": "580-254-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREE",
        "first_name": "COOPER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK STATE BOARD OF OPTOMETRY",
            "identifier": "3220",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Foster
• Elizabeth Fox-Shipley
• Frank S. Aaron, D.P.M.
• Lynda Frech
• Frederick Eye Care PLLC
• Sarah Freeman
• Stephanie Fullbright
• Hallee Fuqua
• Garrett D. Olive, DDS, PLLC
• Melody Kay Geis

• Optometrist in Woodward, OK
• Providers in Woodward, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.

Verify at the official NPI Registry.