Active NPI
Neil Cooper, O.D.
- Optometrist
- Staten Island, NY
National Provider Identifier
1457303240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003858
- Practice address
- 2303 Richmond Ave
Staten Island, NY 10314-3918 - Phone
- (718) 982-9602
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003858 | NY | Primary |
Addresses
Primary practice location
2303 Richmond Ave
Staten Island, NY 10314-3918
Mailing address
2303 Richmond Ave
Staten Island, NY 10314-3918
Phone (718) 982-9602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211209000973 | WI | Practitioner - Optometry | 5092818872 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003858 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1457303240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143918",
"telephone_number": "718-982-9602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143918",
"telephone_number": "718-982-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "NEIL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.