Cooper Vision Center, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-920-TA-487 Issued in AL

Legal business name

COOPER VISION CENTER, P.C.

Practice address

2414 Rainbow Dr
Gadsden, AL 35901-5620

Phone

(256) 413-7878

Fax

(256) 413-7874

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Mark Cooper, O.D.NPI 1467487819

Title

Owner

Phone

(256) 413-7878

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Mark Cooper, O.D.

  • Optometrist
  • Gadsden, AL
  • NPI 1467487819

  AL, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1194908616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015620",
            "telephone_number": "256-413-7878",
            "fax_number": "256-413-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015620",
            "telephone_number": "256-413-7878",
            "fax_number": "256-413-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-413-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-920-TA-487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51096433",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Odeane H Connor, MD
• Marah Oma Contris, ALC
• Convergence Free Will Intervention
• Leia Cook
• Jana Cooley
• John Mark Cooper, O.D.
• Coosa Care LLC
• David Alexander Corbin, MD
• Heather Corbin, CRNP
• Heather Nicole Cordell

• Optometrist in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.