Lyman D Cook, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02432 Issued in MO

Practice address

1724 W Kearney St
Suite 116
Springfield, MO 65803-1645

Phone

(417) 865-4448

Fax

(417) 862-8704

NPI assigned

Jun 7, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Family Eye Care Inc

  • Optometrist
  • Springfield, MO
  • NPI 1164551024
  Medicare reassignment NPD
• Springfield Eyecare, LLC

  • Optometrist
  • Springfield, MO
  • NPI 1730370305
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477593564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 W KEARNEY ST",
            "address_2": "SUITE 116",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658031645",
            "telephone_number": "417-865-4448",
            "fax_number": "417-862-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 W KEARNEY ST",
            "address_2": "SUITE 116",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658031645",
            "telephone_number": "417-865-4448",
            "fax_number": "417-862-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "LYMAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "MO2432",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "157403",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "AF26850",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "4178654448",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI WEST",
            "identifier": "43141947565803A002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline L Cook, BC-FNP
• Jeanne Lyn Cook, PT, MS, CWS
• Jonathan Foster Cook, MD
• Kayla Cook, OT
• Kinsey Cook
• Lisa Marie Coombs, NP-C
• Susan D Coonce, FNP
• Robert Cooney, MD
• Melissa Coons, FNP
• Jennifer Anne Cooper-Lewis, D.O.

• Optometrist in Springfield, MO
• Providers in Springfield, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.