Glenn M Cochran, OD
Individual provider Active NPI Optometrist · Quitman, MS
NPI 1619944287 · NPPES record last updated Dec 22, 2011
Key facts
- NPI
- 1619944287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 488 (MS)
- Practice address
- 303 S Archusa Ave
Quitman, MS 39355-0690 - Phone
- (601) 776-6988
- Fax
- (601) 776-6989
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Clinic of Quitman PLLC
Practice addresses (Care Compare)
303 S Archusa Ave
Quitman, MS 39355-2325
Phone (601) 776-6988
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 49 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081208000362 | MS | Practitioner - Optometry | 4486715554 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 488 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Clinic of Quitman PLLC | Optometrist | Current |
Accepting new patients |
Locations
303 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6988
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 488 | MS | Yes |
Addresses
Primary practice location
303 S Archusa Ave
Quitman, MS 39355-0690
Mailing address
PO Box 690
Quitman, MS 39355-0690
Phone (601) 776-6988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00087907 | Medicaid | MS |
Other providers in Quitman, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.