Individual provider Active NPI

Michael D Cook, O.D.

  • Optometrist
  • Laguna Beach, CA
National Provider Identifier
1669522553
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9227T Issued in CA
Practice address
265 Laguna Ave
Laguna Beach, CA 92651-2119
Phone
(949) 494-1892
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9227T CA Primary

Addresses

Primary practice location

265 Laguna Ave
Laguna Beach, CA 92651-2119

Mailing address

14 Aleria
Laguna Niguel, CA 92677-8620
Phone (949) 249-2655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081106000221 CA Practitioner - Optometry 5193890705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramin Tayani MD IncGroup PAC ID 3274541826, 15 clinicians

Practice addresses (Care Compare)

265 Laguna Ave
Laguna Beach, CA 92651-2119
Phone (949) 494-1892

653 Camino de Los Mares
Suite 103
San Clemente, CA 92673-2808
Phone (949) 489-2218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9227TCAMDOptometrist
9227CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
I2Ioptometry.Com,Inc. CurrentSince Mar 1, 1992 Accepting new patients

Locations

265 Laguna Ave
Laguna Beach, CA 92651
Phone (949) 494-1892

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1669522553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ALERIA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926778620",
            "telephone_number": "949-249-2655",
            "fax_number": "949-250-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 LAGUNA AVE",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512119",
            "telephone_number": "949-494-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9227T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.