Raymond Wayne Cobb Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S769TA002 Issued in AL

Practice address

1520 Military St S
Hamilton, AL 35570-5006

Phone

(205) 921-5499

Fax

(205) 921-0691

NPI assigned

Nov 4, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL2 enrollments

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 2

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

14.17 of 100Reported as individual

Quality

28.33

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20757/brand/3/csg/22/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grant Phillips Fowler, OD

  • Optometrist
  • Hamilton, AL
  • NPI 1265957898
  Medicare reassignment

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.

• Donald P. McCurdy, MD, PC

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1013028414
  NPD (past)
• Ouch Urgent Care of Hamilton LLC

  • Family Medicine Physician
  • Hamilton, AL
  • NPI 1265962708
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669463972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355702087",
            "telephone_number": "205-921-5499",
            "fax_number": "205-921-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 MILITARY ST S",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355705006",
            "telephone_number": "205-921-5499",
            "fax_number": "205-921-0691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 Military St S",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "AL",
            "postal_code": "355705048",
            "country_code": "US",
            "telephone_number": "205-921-5499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBB",
        "first_name": "RAYMOND",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S769TA002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058646",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000058646",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry D Carter, O.D.
• Center for Cosmetic Dentistry and Orthodontics
• CJ Sandlin LLC (Fred's Pharmacy)
• CJ Sandlin LLC (Fred's Pharmacy)
• Clark's Discount Pharmacy
• Clayton Dale Cockrell II, CRNP
• Comfort Counseling, LLC
• Sarah Samantha Cook, LPC
• Divine Family Wellness, LLC
• Dr Larry Carter Optometrist PA

• Optometrist in Hamilton, AL
• Providers in Hamilton, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.