Individual provider Active NPI

Stephanie Marie Cooper, O.D.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1255619771
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2691 Issued in OK
Practice address
2424 E 21St St Ste 200
Tulsa, OK 74114-1736
Phone
(918) 949-4577
Fax
(918) 949-3785
NPI assigned
Aug 1, 2011
Last updated
May 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2691 OK Primary

Addresses

Primary practice location

2424 E 21St St Ste 200
Tulsa, OK 74114-1736

Mailing address

2424 E 21St St Ste 200
Tulsa, OK 74114-1736
Phone (918) 949-4577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20111017000521 OK Practitioner - Optometry 4688846637 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Retina Consultants PLLCGroup PAC ID 1850518861, 4 clinicians

Practice addresses (Care Compare)

2424 E 21St St
Suite 200
Tulsa, OK 74114-1736
Phone (918) 949-4577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Retina Consultants PLLC CurrentSince May 5, 2015 Accepting new patients
Northeastern State University College of Optometry Optometrist CurrentSince Jul 27, 2011 Accepting new patients
The Eye Institute Inc CurrentSince May 1, 2021 Accepting new patients
Marc a Goldberg MD PC Past Accepting new patients

Locations

501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

870 E Crafton St
Tahlequah, OK 74464
Phone (918) 444-4000

2000 S Wheeling Ave
Ste 1010
Tulsa, OK 74104
Phone (918) 584-4433

2000 S Wheeling Ave
Ste 500
Tulsa, OK 74104

2424 E 21st St
Ste 200
Tulsa, OK 74114
Phone (918) 949-4577

7171 S Yale Ave
Ste 103
Tulsa, OK 74136
Phone (918) 492-0066

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: scooper@retinatulsa.intellechartdirect.net
  • Direct secure messaging: smc@eyeinstitute.ecldirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1255619771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141736",
            "telephone_number": "918-949-4577",
            "fax_number": "918-949-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E 21ST ST STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141736",
            "telephone_number": "918-949-4577",
            "fax_number": "918-949-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.