Individual provider Active NPI

Misty Lynne Cox, O.D.

  • Optometrist
  • Sun City, AZ
National Provider Identifier
1457784308
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1980 Issued in AZ
Practice address
10701 W Bell Rd
Sun City, AZ 85351-1074
Phone
(623) 876-2020
Fax
(623) 977-1750
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D09-TA-956 AL
Optometrist 152W00000X 3098 TN
Optometrist 152W00000X 1980 AZ Primary

Addresses

Primary practice location

10701 W Bell Rd
Sun City, AZ 85351-1074

Mailing address

10701 W Bell Rd
Sun City, AZ 85351-1074
Phone (623) 876-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141208001940 AZ Practitioner - Optometry 9739401415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fornara Eye Center P.C.Group PAC ID 5890862445, 2 clinicians

Practice addresses (Care Compare)

199 S Candy LN
2A
Cottonwood, AZ 86326-4183
Phone (928) 634-2883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D09-TA-956ALMDOptometrist
3098TNMDOptometrist
1980AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fornara Eye Center P.C. Optometrist CurrentSince May 16, 2016 Accepting new patients

Locations

199 S Candy Ln
Ste 2A
Cottonwood, AZ 86326
Phone (928) 632-2883

1680 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 320-2306

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1457784308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511074",
            "telephone_number": "623-876-2020",
            "fax_number": "623-977-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511074",
            "telephone_number": "623-876-2020",
            "fax_number": "623-977-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "MISTY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D09-TA-956",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3098",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.