Active NPI
Christine Ware Cook, F.A.A.O
- Optometrist
- Virginia Beach, VA
National Provider Identifier
1164411310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000757
- 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, 2010
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337489 | Other | VA | ANTHEM BLUE CROSS |
| 009234802 | Medicaid | VA | |
| 541206650 | Other | VA | TRICARE |
| 0761520001 | Other | VA | DMERC 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Quality
- 79.24
- Improvement activities
- 0
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000757 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Specialists LTD | Optometrist | Current | Accepting new patients |
Locations
813 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 490-9091
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.