Individual provider Active NPI

Christina Marie Cooper, O.D.

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1619313582
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003774A Issued in IN
Practice address
860 E 86TH St
Suite 2
Indianapolis, IN 46240-6859
Phone
(317) 848-7755
Fax
(317) 848-7766
NPI assigned
May 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003774A IN Primary

Addresses

Primary practice location

860 E 86TH St
Suite 2
Indianapolis, IN 46240-6859

Mailing address

860 E 86TH St
Suite 2
Indianapolis, IN 46240-6859
Phone (317) 848-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20130607000509 IN Practitioner - Optometry 3274771928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indy Eye Care LLCGroup PAC ID 7911222039, 3 clinicians

Practice addresses (Care Compare)

860 E 86TH St
Suite 2
Indianapolis, IN 46240-6860
Phone (317) 848-7755

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003774AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Indy Eye Care LLC Optometrist CurrentSince May 15, 2014 Accepting new patients
Nora Eye Care, P.C. Optometrist CurrentSince Jun 24, 2013 Accepting new patients

Locations

860 E 86th St
Ste 2
Indianapolis, IN 46240
Phone (317) 848-7755

Organizations & group practices 2

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1619313582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E 86TH ST",
            "address_2": "SUITE 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406859",
            "telephone_number": "317-848-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E 86TH ST",
            "address_2": "SUITE 2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462406859",
            "telephone_number": "317-848-7755",
            "fax_number": "317-848-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003774A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.