Individual provider Active NPI

Gary L Cook, OD

  • Optometrist
  • Wellsville, NY
National Provider Identifier
1659487213
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005095 Issued in NY
Practice address
12 Martin St
Wellsville, NY 14895-1057
Phone
(585) 593-6041
Fax
(585) 593-4919
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T005095 NY Primary

Addresses

Primary practice location

12 Martin St
Wellsville, NY 14895-1057

Mailing address

12 Martin St
Wellsville, NY 14895-1057
Phone (585) 593-6041

Other identifiers 1

IdentifierTypeStateIssuer
01579726MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101214001164 NY Practitioner - Optometry 2860689965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12469 Olean Rd
Suite 1
Chaffee, NY 14030-9752
Phone (716) 496-7454

Merit-based Incentive Payment System (MIPS)

Final score
74.73 of 100Reported as group
Quality
87.75
Improvement activities
40
Cost
29.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005095NYMDMental Health Counselor
T005095NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Best Vision, Inc Optometrist CurrentSince Aug 11, 2020 Accepting new patients
Kenneth G Vandine MDPC CurrentSince Jul 1, 1966 Accepting new patients

Locations

12469 Olean Rd
Ste 1
Chaffee, NY 14030
Phone (716) 496-7454

12 Martin St
Wellsville, NY 14895
Phone (585) 593-4250

Interoperability endpoints

  • Direct secure messaging: garycookod@alleganyeye.medentdirect.com

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659487213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MARTIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951057",
            "telephone_number": "585-593-6041",
            "fax_number": "585-593-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MARTIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951057",
            "telephone_number": "585-593-6041",
            "fax_number": "585-593-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01579726",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

Verify at the official NPI Registry.