Individual provider Active NPI

Michael J Cooper, OD

  • Optometrist
  • Escondido, CA
National Provider Identifier
1164586244
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10476T Issued in CA
Practice address
251 E 4TH Ave
Escondido, CA 92025-4901
Phone
(760) 745-5412
Fax
(760) 745-2752
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10476T CA Primary

Addresses

Primary practice location

251 E 4TH Ave
Escondido, CA 92025-4901

Mailing address

251 E 4TH Ave
Escondido, CA 92025-4901
Phone (760) 745-5412

Other identifiers 1

IdentifierTypeStateIssuer
GSD001100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120130000771 CA Practitioner - Optometry 8325229891 Reassigns benefits to 1 organization
Practice locations: Escondido, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Eye Specialists a Medical CorpGroup PAC ID 3375447964, 18 clinicians

Practice addresses (Care Compare)

16615 Dove Canyon Rd
Suite 105
San Diego, CA 92127-3441
Phone (858) 487-7900

521 E Elder St
Suite 102
Fallbrook, CA 92028-3082
Phone (760) 728-5728

Merit-based Incentive Payment System (MIPS)

Final score
90.53 of 100Reported as group
Quality
88.72
Promoting interoperability
99
Improvement activities
40
Cost
77.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10476TCAMDOptometrist

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Inland Eye Specialists, a Medical Corporation Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Inland Eye Specialists a Medical Corp Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Manell & Cooper Optometrist Optometrist PastSince Jan 1, 1973 Accepting new patients

Locations

521 E Elder St
Ste 102
Fallbrook, CA 92028
Phone (760) 728-5728

25395 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 696-5388

16615 Dove Canyon Rd
Ste 105
San Diego, CA 92127
Phone (858) 487-7900

31950 Temecula Pkwy
Ste B-7
Temecula, CA 92592
Phone (909) 303-0575

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michael.cooper.d1.p3@direct.inlandeyespecialists.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1164586244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E 4TH AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254901",
            "telephone_number": "760-745-5412",
            "fax_number": "760-745-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E 4TH AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254901",
            "telephone_number": "760-745-5412",
            "fax_number": "760-745-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10476T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.