Individual provider Active NPI

Julia Adele Cooper, O.D.

  • Optometrist
  • Trenton, NJ
National Provider Identifier
1265715742
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00632400 Issued in NJ
Practice address
2465 S Broad St
Trenton, NJ 08610-4700
Phone
(609) 528-4571
Fax
(609) 528-4577
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00632400 NJ Primary

Addresses

Primary practice location

2465 S Broad St
Trenton, NJ 08610-4700

Mailing address

15 Malaga Dr
Ewing, NJ 08638-1311
Phone (910) 616-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20130703000021 NJ Practitioner - Optometry 7810137452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of PrincetonGroup PAC ID 5991924680, 6 clinicians

Practice addresses (Care Compare)

3535 Route 1
Suite 416
Princeton, NJ 08540-5974
Phone (609) 536-1017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Princeton Optometrist CurrentSince Jan 31, 2024 Accepting new patients

Locations

3535 US Highway 1
Ste 416
Princeton, NJ 08540
Phone (609) 520-1008

Organizations & group practices 1

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": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1265715742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MALAGA DR",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086381311",
            "telephone_number": "910-616-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086104700",
            "telephone_number": "609-528-4571",
            "fax_number": "609-528-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JULIA",
        "middle_name": "ADELE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00632400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.