NPIMap

Organization Active NPI

Cool Optometry

  • Optometrist
  • Cool, CA
National Provider Identifier
1285064378
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13968 Issued in CA
Legal business name
COOL OPTOMETRY
Practice address
5020 Ellinghouse Dr Ste a
Cool, CA 95614-9569
Phone
(530) 887-8048
NPI assigned
Nov 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Dr. Jenelle Ann Palmer, O.D.
Title
Owner/Optometrist
Phone
(530) 887-8048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13968 CA Primary

Addresses

Primary practice location

5020 Ellinghouse Dr Ste a
Cool, CA 95614-9569

Mailing address

5020 Ellinghouse Dr Ste a
Cool, CA 95614-9569
Phone (530) 887-8048

National Provider Directory

National Provider Directory

Locations

5020 Ellinghouse Dr
Ste A
Cool, CA 95614
Phone (530) 887-8048

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1285064378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 ELLINGHOUSE DR STE A",
            "city": "COOL",
            "state": "CA",
            "postal_code": "956149569",
            "telephone_number": "530-887-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 ELLINGHOUSE DR STE A",
            "city": "COOL",
            "state": "CA",
            "postal_code": "956149569",
            "telephone_number": "530-887-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOL OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JENELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "530-887-8048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cool, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.