Micheal G Cook OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MICHEAL G COOK OD PC

Practice address

3044 Goodman Rd E
Southaven, MS 38672-8760

Phone

(662) 349-1660

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Michael G Cook, OD

Title

Owner

Phone

(662) 349-1660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• eyear optical Doing business as

Locations

Practitioners 2

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

• Parth Amin, O.D.

  • Optometrist
  • Southaven, MS
  • NPI 1184286874
  NPD (past)
• John D Carlson, OD

  • Optometrist
  • Hernando, MS
  • NPI 1467542241
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1336287572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728760",
            "telephone_number": "662-349-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEAL G COOK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-349-1660",
        "authorized_official_credential": "OD"
    },
    "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": "09016295",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eyear optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Gwen Mettetal, C.F.N.P. CPMHNP
• Alexander Meyer, MD
• Timothy J Micek, M.D.
• Michael E Foster MD PC
• Michael E Steuer MD PC
• Anna Kathryn Michell, COTA/L
• Mid South Otolaryngology Associates P.C.
• Mid-Delta Hospice North Inc
• Mid-South Anesthesia Consultants, PLLC
• Mid-South Imaging Center LLC

• Optometrist in Southaven, MS
• Providers in Southaven, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.