Kelly James Cochrane, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1536TX Issued in WA

Practice address

9825 Sandifur Pkwy
Suite B
Pasco, WA 99301-6738

Phone

(509) 547-6998

Fax

(509) 547-6966

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in WA

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

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.

• Great Basin Eyecare, PLLC

  • Optometrist
  • Pasco, WA
  • NPI 1487836151
  Medicare reassignment NPD Authorized official
• Cantley Vision Inc PS

  • Optometrist
  • Richland, WA
  • NPI 1811109671
  NPD (past)
• Eyecare Vision and Optical

  • Optometrist
  • Kennewick, WA
  • NPI 1346412582
  NPD (past)
• Valley Vision Clinic PS

  • Optometrist
  • Walla Walla, WA
  • NPI 1558320838
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1184693897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4013",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993024013",
            "telephone_number": "509-547-6998",
            "fax_number": "509-547-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 SANDIFUR PKWY",
            "address_2": "SUITE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993016738",
            "telephone_number": "509-547-6998",
            "fax_number": "509-547-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRANE",
        "first_name": "KELLY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1536TX",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1629D",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPPR",
            "identifier": "410016585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE OREGON",
            "identifier": "022886003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "032340000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009488",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE WASHINGTON",
            "identifier": "CO6992",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "554048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR SEATTLE DFE",
            "identifier": "610605300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM HEALTH PLAN OF WA",
            "identifier": "8886644808",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "25764890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE RETIRE",
            "identifier": "410016584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC SUPPY CIGNA DMERC REGD",
            "identifier": "0323400001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR AND INDUSTRIES",
            "identifier": "0226424",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Clark
• Tracy Sue Clark, PHARMD
• Roxana Claro
• Cresencia C. Cleaves
• Jesse Manuel Clossey
• Rochelle Cochrane
• Teah Cocozzo
• Jessica Lynn Cole, BSN, RN
• Ayla Collins, PHARM.D.
• Columbia Basin College

• Optometrist in Pasco, WA
• Providers in Pasco, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.