Ingrid S Whitbourne-Cooke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3064 Issued in FL

Practice address

3001 N State Road 7
Lauderdale Lakes, FL 33313-1913

Phone

(954) 733-2066

NPI assigned

Jun 20, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ingrid Whitbourne Professional name

Medicare fee-for-service enrollment

Enrolled in GA

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

Nova Southeastern College of Osteo Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Star Optometry Ga LLC

  • Optometrist
  • Cumming, GA
  • NPI 1528944451
  Medicare reassignment NPD
• Ingrid Whitbourne-Cooke, O.D.,P.a.

  • Optometrist
  • Sunrise, FL
  • NPI 1588910640
  NPD Authorized official

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511568000000",
    "number": "1174528632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8252 NW 15TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716211",
            "telephone_number": "954-706-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N STATE ROAD 7",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131913",
            "telephone_number": "954-733-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITBOURNE-COOKE",
        "first_name": "INGRID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2017-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "WHITBOURNE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wellmax Health Medical Centers, LLC
• Greta Wendorf, LMHC
• West Broward Clinical Laboratory, L.L.C.
• West Broward Kidney, PA
• West Broward Nephrology PA
• Yassecha Akela White, BCBA
• Ebony Sheena Whitfleld
• Victoria Widjaja, D.C.
• Hazel Wiley, D.O
• Ashley Williams

• Optometrist in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; 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.