Michelle M Cooper, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1038 Issued in SC

Practice address

24 Potomac Ave
Greenville, SC 29605-2118

Phone

(864) 277-4420

Fax

(864) 277-9946

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Michelle M. Cooper, PA

  • Optometrist
  • Greenville, SC
  • NPI 1386015030
  Medicare reassignment NPD Authorized official
• Taylor-Made Eyewear

  • Durable Medical Equipment & Medical Supplies
  • Mauldin, SC
  • NPI 1689861957
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1265491260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 POTOMAC AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052118",
            "telephone_number": "864-288-5665",
            "fax_number": "864-277-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 POTOMAC AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052118",
            "telephone_number": "864-277-4420",
            "fax_number": "864-277-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10389",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen Cooper Cooper
• Gordon Cooper
• John Allen Cooper, M D
• Kendyl Cooper, PA-C
• Lindsay Nichole Cooper, RN
• Taylor Williams Cooper, OTR/L
• Tracy Lynn Cooper, CNM
• Michael Stephen Cooter, M.D.
• Kathleen Cope, LPCA
• Shannon H Cope, NP

• Optometrist in Greenville, SC
• Providers in Greenville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.