Organization Active NPI

Cockrell Eyecare Center PLLC

  • Optometrist
  • Stillwater, OK
National Provider Identifier
1306978044
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COCKRELL EYECARE CENTER PLLC
Practice address
1711 W 6TH
Stillwater, OK 74074-4200
Phone
(405) 372-1715
Fax
(405) 372-3350
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Dr. David A Cockrell, O.D.NPI 1295737872
Title
President
Phone
(405) 372-1715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1711 W 6TH
Stillwater, OK 74074-4200

Mailing address

1711 W 6TH Ave
Stillwater, OK 74074-4200
Phone (405) 372-1715

Other identifiers 2

IdentifierTypeStateIssuer
100768620CMedicaidOK
C05037OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080421000077 OK Part B Supplier - Clinic/Group Practice 6800972571 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Stillwater, OK
O20100930076009 OK DME Supplier - Physician - OptometristDME Supplier - Optician 6800972571 Practice locations: Stillwater, OK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cockrell Eyecare Center1711 W 6TH Ave, Stillwater, OK 74074-4200(405) 372-1715 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1999

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: lgee@cockrelleyecare.eyefinity-direct.com
  • Direct secure messaging: dacockrell@cockrelleyecare.eyefinity-direct.com
  • Direct secure messaging: cgee@cockrelleyecare.eyefinity-direct.com
  • Direct secure messaging: jmillirons@cockrelleyecare.eyefinity-direct.com
  • Direct secure messaging: cherrycockrell@cockrelleyecare.eyefinity-direct.com
  • Direct secure messaging: jmiller@cockrelleyecare.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1306978044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744200",
            "telephone_number": "405-372-1715",
            "fax_number": "405-372-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W 6TH",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744200",
            "telephone_number": "405-372-1715",
            "fax_number": "405-372-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCKRELL EYECARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "COCKRELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-372-1715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100768620C",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C05037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.