Enjoli Oleeta Cooke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100279 Issued in ID

Practice address

212 Rodeo Dr Ste 410
Moscow, ID 83843

Phone

(208) 874-0020

Fax

(208) 874-0019

NPI assigned

Jul 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, WA2 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

Specialty

Optometry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Inland Eye Care PLLC

  • Optometrist
  • Moscow, ID
  • NPI 1689136178
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1457793507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 RODEO DR STE 410",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838439794",
            "telephone_number": "208-874-0020",
            "fax_number": "208-874-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RODEO DR STE 410",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "83843",
            "telephone_number": "208-874-0020",
            "fax_number": "208-874-0019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 E Main St",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991632619",
            "country_code": "US",
            "telephone_number": "509-334-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Rodeo Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "83843",
            "country_code": "US",
            "telephone_number": "208-874-0020",
            "fax_number": "208-874-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "ENJOLI",
        "middle_name": "OLEETA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health Association of Spokane
• Community Healthcare of the Palouse
• William A. Cone, M.D.
• Hunter Augustus Connolley
• Aleena Cook
• Kaelin Cooley
• County of Latah School District 281
• Danielle Anne Courtney, RDH
• Craig H Cox, MD
• Jesse Alan Cramer

• Optometrist in Moscow, ID
• Providers in Moscow, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.