Christina Cooke Elvis

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

2709 Church St Ste a
Conway, SC 29526-4440

Phone

(843) 365-0739

Fax

(843) 365-0751

NPI assigned

Jun 13, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1205566403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 CHURCH ST STE A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264440",
            "telephone_number": "843-365-0739",
            "fax_number": "843-365-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 CHURCH ST STE A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264440",
            "telephone_number": "843-365-0739",
            "fax_number": "843-365-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVIS",
        "first_name": "CHRISTINA",
        "middle_name": "COOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Orthopaedics of South Carolina, LLC
• Sarah Elliott, APRN
• Michael H Ellis, M.D.
• John Jay Elms, MD
• Kathleen S Elms, CRNA
• Ryan Eric Embertson, M.D.
• Empowered Counseling, LLC
• Jennifer Ennis, CCC-SLP
• William Epperson
• Aaron M Epstein, M.D.

• Optician in Conway, SC
• Providers in Conway, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.