Individual provider Active NPI

Joel Lair Cook, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1245285485
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6425T Issued in CA
Practice address
9320 Carmel Mountain Rd
Ste E
San Diego, CA 92129-2159
Phone
(858) 484-1500
Fax
(858) 484-8416
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6425T CA Primary

Addresses

Primary practice location

9320 Carmel Mountain Rd
Ste E
San Diego, CA 92129-2159

Mailing address

9320 Carmel Mountain Rd
Ste E
San Diego, CA 92129-2159
Phone (858) 484-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6425TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1245285485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 CARMEL MOUNTAIN RD",
            "address_2": "STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292159",
            "telephone_number": "858-484-1500",
            "fax_number": "858-484-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 CARMEL MOUNTAIN RD",
            "address_2": "STE E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292159",
            "telephone_number": "858-484-1500",
            "fax_number": "858-484-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JOEL",
        "middle_name": "LAIR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6425T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.