Individual provider Active NPI

Monica M Cook, O.D.

  • Optometrist
  • Center Valley, PA
National Provider Identifier
1336590496
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003187 Issued in PA
Practice address
3060 Center Valley Pkwy
Center Valley, PA 18034-9036
Phone
(610) 791-0672
NPI assigned
Jun 29, 2016
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003187 PA Primary

Addresses

Primary practice location

3060 Center Valley Pkwy
Center Valley, PA 18034-9036

Mailing address

3060 Center Valley Pkwy
Center Valley, PA 18034-9036

Other names 1

  • Mrs. Monica M Radelat Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161013001437 PA Practitioner - Optometry 4789972324 Reassigns benefits to 2 organizations
I20210329001012 NJ Practitioner - Optometry 4789972324 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chirag S Shah MD LLC CurrentSince Feb 1, 2021 Accepting new patients
Eyecare of the Valley P.C. Optometrist CurrentSince Oct 6, 2018 Accepting new patients

Locations

2999 Princeton Pike
Ste 1
Lawrenceville, NJ 08648
Phone (609) 243-8711

240 Pottstown Ave
Pennsburg, PA 18073
Phone (215) 679-3500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1336590496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 CENTER VALLEY PKWY",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 CENTER VALLEY PKWY",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180349036",
            "telephone_number": "610-791-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MONICA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "RADELAT",
            "middle_name": "M",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.