NPIMap

Individual provider Active NPI

Mallory Nicole Cook, OD

  • Optometrist
  • Frankfort, KY
National Provider Identifier
1508755281
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2443DT Issued in KY
Practice address
315 Leonardwood Rd
Frankfort, KY 40601-6532
Phone
(502) 223-2314
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 20

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisville Optometric Centers III, PSC 38 clinicians

Practice addresses (Care Compare)

315 Leonardwood Rd
Frankfort, KY 40601-6532
Phone (502) 459-2020

4000 Poplar Level Rd
Louisville, KY 40213-1524
Phone (502) 459-2020

4202 Polar Level Rd
Louisville, KY 40213-1524
Phone (502) 459-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20251006000288 KY Practitioner - Optometry 1951807247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Optometric Centers III, PSC CurrentSince Sep 10, 2025 Accepting new patients
Louisville Optometric Centers III, PSC Optometrist CurrentSince Sep 10, 2025 Accepting new patients
Louisville Optometric Centers, III PSC Optometrist Past Accepting new patients

Locations

315 Leonardwood Rd
Frankfort, KY 40601
Phone (502) 223-2314

4000 Poplar Level Rd
Louisville, KY 40213
Phone (502) 456-1004

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2443DT KY Primary

Addresses

NPPES NPI Registry

Primary practice location

315 Leonardwood Rd
Frankfort, KY 40601-6532

Mailing address

4000 Poplar Level Rd
Louisville, KY 40213-1524
Phone (502) 813-8927

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2025.

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1508755281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131524",
            "telephone_number": "502-813-8927",
            "fax_number": "502-451-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LEONARDWOOD RD",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016532",
            "telephone_number": "502-223-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MALLORY",
        "middle_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2443DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.