Individual provider Active NPI

Christine Ware Cook, F.A.A.O

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1164411310
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000757 Issued in VA
Practice address
813 Independence Blvd
Virginia Beach, VA 23455-6004
Phone
(757) 490-9091
Fax
(757) 490-3250
NPI assigned
Oct 20, 2005
Last updated
Jul 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000757 VA Primary

Addresses

Primary practice location

813 Independence Blvd
Virginia Beach, VA 23455-6004

Mailing address

813 Independence Blvd
Virginia Beach, VA 23455-6004
Phone (757) 490-9091

Other identifiers 4

IdentifierTypeStateIssuer
337489OtherVAANTHEM BLUE CROSS
009234802MedicaidVA
541206650OtherVATRICARE
0761520001OtherVADMERC CIGNA GOVERNMENT SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110119001197 VA Practitioner - Optometry 6507060647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
The Eye Specialists LTDGroup PAC ID 3577464718, 2 clinicians

Practice addresses (Care Compare)

813 Independence Blvd
Virginia Beach, VA 23455-6004
Phone (757) 490-9091

Merit-based Incentive Payment System (MIPS)

Final score
34.7 of 100Reported as group
Quality
79.24
Improvement activities
0
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000757VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Specialists LTD Optometrist CurrentSince Aug 16, 1999 Accepting new patients

Locations

813 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 490-9091

Interoperability endpoints

  • Direct secure messaging: ccook@theeyespecs.intellechartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1164411310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556004",
            "telephone_number": "757-490-9091",
            "fax_number": "757-490-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 INDEPENDENCE BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556004",
            "telephone_number": "757-490-9091",
            "fax_number": "757-490-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CHRISTINE",
        "middle_name": "WARE",
        "name_prefix": "Dr.",
        "credential": "F.A.A.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "337489",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009234802",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541206650",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC CIGNA GOVERNMENT SERVICES",
            "identifier": "0761520001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.