Active NPI
Jeannette M Cooper, O.D.
- Optometrist
- Ozone Park, NY
National Provider Identifier
1255560579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007447-1
- Practice address
- 10222 Atlantic Ave
Ozone Park, NY 11416-1739 - Phone
- (718) 846-1144
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV007447-1 | NY | Primary |
Addresses
Primary practice location
10222 Atlantic Ave
Ozone Park, NY 11416-1739
Mailing address
9140 110TH St
Richmond Hill, NY 11418-2309
Phone (718) 846-0622
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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007447-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sap Optical | Optometrist | Past | Accepting new patients |
| Ejmvkk Associates Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1255560579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9140 110TH ST",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182309",
"telephone_number": "718-846-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10222 ATLANTIC AVE",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114161739",
"telephone_number": "718-846-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JEANNETTE",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-08",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007447-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.