Active NPI
Michael D Cook, O.D.
- Optometrist
- Laguna Beach, CA
National Provider Identifier
1669522553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9227T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9227T | CA | MD | Optometrist |
| 9227 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I2Ioptometry.Com,Inc. | Current | 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.
-
- Ophthalmology Physician
- San Clemente, CA
- NPI 1841465986
-
- Corneal and Contact Management Optometrist
- Laguna Beach, CA
- NPI 1912116799
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.