Individual provider Active NPI

Mark D. Cooney, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1144219353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3121T Issued in TX
Practice address
8055 West Ave
Suite 109
San Antonio, TX 78213-1841
Phone
(210) 340-1919
Fax
(210) 348-0348
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3121T TX Primary

Addresses

Primary practice location

8055 West Ave
Suite 109
San Antonio, TX 78213-1841

Mailing address

8055 West Ave
Suite 109
San Antonio, TX 78213-1841
Phone (210) 340-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120301000454 TX Practitioner - Optometry 3678731163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3121TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
River City Eye Associates PLLC CurrentSince Jan 2, 2025 Accepting new patients
Keith Sanford, MD PA PastSince Jul 1, 2004 Accepting new patients
Aaker Eye Care, PLLC Optometrist Past Accepting new patients

Locations

3338 Oakwell Ct
#190
San Antonio, TX 78218

3338 Oakwell Ct
Ste 190
San Antonio, TX 78218
Phone (210) 930-2015

3338 Oakwell Ct
Ste 212
San Antonio, TX 78218
Phone (210) 930-2015

3338 Oakwell Ct
Ofc
San Antonio, TX 78218
Phone (210) 930-2015

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144219353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 WEST AVE",
            "address_2": "SUITE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131841",
            "telephone_number": "210-340-1919",
            "fax_number": "210-348-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 WEST AVE",
            "address_2": "SUITE 109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131841",
            "telephone_number": "210-340-1919",
            "fax_number": "210-348-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "MARK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3121T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.