Inland Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

INLAND EYE CARE PLLC

Practice address

212 Rodeo Dr Ste 410
Moscow, ID 83843-9794

Phone

(208) 874-0020

Fax

(208) 874-0019

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Enjoli Oleeta Cooke, ODNPI 1457793507

Title

Owner/Optometrist

Phone

(443) 223-9443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enjoli Oleeta Cooke, O.D.

  • Optometrist
  • Moscow, ID
  • NPI 1457793507
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1689136178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 SW LOST TRAIL DR",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635661",
            "telephone_number": "443-223-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RODEO DR STE 410",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838439794",
            "telephone_number": "208-874-0020",
            "fax_number": "208-874-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "ENJOLI",
        "authorized_official_middle_name": "OLEETA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "443-223-9443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Mindworks LLC, April King Rubino Sole MBR
• Kelly Patricia Isakson, PT
• Amy Isbelle, RN

• Optometrist in Moscow, ID
• Providers in Moscow, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.