Individual provider Active NPI

Jared Lawrence Cooper, O.D

  • Optometrist
  • Lexington, TN
National Provider Identifier
1346498367
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7347067-9934 Issued in UT
Practice address
547 W Church St
Lexington, TN 38351-1703
Phone
(731) 213-1500
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Eye Care LLC 22 clinicians

Practice addresses (Care Compare)

329 Murfreesboro Pike
Nashville, TN 37210-2834
Phone (888) 840-3032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 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
I20241230000896 TN Practitioner - Optometry 1355481615 Reassigns benefits to 2 organizations
I20260420003333 FL Practitioner - Optometry 1355481615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-100596IDMDOptometrist
TA2968MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Valley Vision PLLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Aria Eye Care, LLC Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Friendly Eyes Optometry LLC CurrentSince Apr 1, 2026 Accepting new patients

Locations

5641 Red Bug Lake Rd
Unit 1B
Winter Springs, FL 32708
Phone (407) 961-5678

216 Centerview Dr
Ste 317
Brentwood, TN 37027
Phone (775) 392-2636

547 W Church St
Lexington, TN 38351
Phone (731) 968-2647

329 Murfreesboro Pike
Nashville, TN 37210
Phone (615) 244-6900

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-100596 ID
Optometrist 152W00000X 7347067-9934 UT Primary
Optometrist 152W00000X TA2968 MD
Optometrist 152W00000X 3853 TN

Addresses

Primary practice location

547 W Church St
Lexington, TN 38351-1703

Mailing address

547 W Church St
Lexington, TN 38351-1703
Phone (731) 213-1500

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1346498367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511703",
            "telephone_number": "731-213-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383511703",
            "telephone_number": "731-213-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JARED",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100596",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "7347067-9934",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2968",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, TN

Sources for this page

Verify at the official NPI Registry.