Active NPI
Michael A Cooper, OD
- Optometrist
- Toledo, OH
National Provider Identifier
1558370429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3662 T390
- Practice address
- 4011 Secor Rd
Toledo, OH 43623-4266 - Phone
- (419) 474-8833
- Fax
- (419) 474-8943
- NPI assigned
- Aug 7, 2006
- Last updated
- Oct 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3662 T390 | OH | Primary |
Addresses
Primary practice location
4011 Secor Rd
Toledo, OH 43623-4266
Mailing address
4011 Secor Rd
Toledo, OH 43623-4266
Phone (419) 474-8833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3662 | OH | MD | Registered Dietitian |
| 3662 T390 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westgate Vision Center LLC | Optometrist | Current | Accepting new patients |
| Three Amigo's Optical, LLC | Optometrist | Current | Accepting new patients |
| Rudey Opticians, LTD | Optometrist | Current | Accepting new patients |
| Ohio Vision of Toledo Inc | Past | Accepting new patients |
Locations
152 W South Boundary St
Perrysburg, OH 43551
Phone (419) 874-3661
4011 Secor Rd
Toledo, OH 43623
Phone (419) 474-8833
Organizations & group practices 4
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.
-
- Optometrist
- Perrysburg, OH
- NPI 1619160389
-
- Optometrist
- Toledo, OH
- NPI 1033128590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1558370429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234266",
"telephone_number": "419-474-8833",
"fax_number": "419-474-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234266",
"telephone_number": "419-474-8833",
"fax_number": "419-474-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3662 T390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.