Michael G Cook, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

467 Issued in MS

Practice address

3044 Goodman Road East
Southaven, MS 38672-8760

Phone

(662) 349-1660

Fax

(662) 349-1663

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1457360679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 GOODMAN ROAD EAST",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728760",
            "telephone_number": "662-349-1660",
            "fax_number": "662-349-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 GOODMAN ROAD EAST",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728760",
            "telephone_number": "662-349-1660",
            "fax_number": "662-349-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880118",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerin Trinette Connor, NP
• Conrad Pearson Clinic PC
• Consolidated Therapies, LLC
• Cecilia Elese Cook
• Makenzie Jewel Cook, P-LPC
• Sidney Cook, FNP
• Brittany Leann Cooper, PHARMD
• Jane Elizabeth Deweese Cooper, SLP
• Lana Cooper, FNP-C
• Cornerstone Rehabilitation of Southaven

• 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 Oct 30, 2008; 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.