Dr. Wesley D. Cooper, Optometrist, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

716 Issued in CO

Legal business name

DR. WESLEY D. COOPER, OPTOMETRIST, P.C.

Practice address

400 S Nevada Ave
Montrose, CO 81401-5738

Phone

(970) 249-3914

Fax

(970) 249-7893

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wesley D Cooper, D.O., P.C.NPI 1841290319

Title

Authorized Official

Phone

(970) 249-3914

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wesley D Cooper, OD

  • Optometrist
  • Montrose, CO
  • NPI 1841290319
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1407025679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015738",
            "telephone_number": "970-249-3914",
            "fax_number": "970-249-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015738",
            "telephone_number": "970-249-3914",
            "fax_number": "970-249-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. WESLEY D. COOPER, OPTOMETRIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "970-249-3914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., P.C."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08765232",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0385143",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Montrose, CO
• Providers in Montrose, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.