Individual provider Active NPI

Dana Anthony Cocke, OD

  • Corneal and Contact Management Optometrist
  • Tacoma, WA
National Provider Identifier
1194745729
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3140 Issued in WA
Practice address
5003 Tacoma Mall Blvd Ste 102
Tacoma, WA 98409-7120
Phone
(253) 472-5813
Fax
(253) 472-0640
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3140 WA Primary

Addresses

Primary practice location

5003 Tacoma Mall Blvd Ste 102
Tacoma, WA 98409-7120

Mailing address

5003 Tacoma Mall Blvd Ste 102
Tacoma, WA 98409-7120
Phone (253) 472-5813

Other identifiers 1

IdentifierTypeStateIssuer
2019289MedicaidWA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040413001799 WA Practitioner - Optometry 9931192275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7813 Pacific Ave
Tacoma, WA 98408-7028
Phone (253) 472-5813

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3140WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes Rite Eyecare, Inc. Corneal and Contact Management CurrentSince Jan 1, 2004 Accepting new patients
Cascade Eye & Skin Centers P.C. Past Accepting new patients
Cascade Eye & Skin Centers PC Past Accepting new patients

Locations

7901 S Hosmer St
Ste A4
Tacoma, WA 98408
Phone (206) 472-5813

7813 Pacific Ave
Tacoma, WA 98408
Phone (253) 472-5813

5003 Tacoma Mall Blvd
Ste 102
Tacoma, WA 98409
Phone (253) 472-5813

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1194745729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 TACOMA MALL BLVD STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097120",
            "telephone_number": "253-472-5813",
            "fax_number": "253-472-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 TACOMA MALL BLVD STE 102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097120",
            "telephone_number": "253-472-5813",
            "fax_number": "253-472-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKE",
        "first_name": "DANA",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "3140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019289",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.