Organization Active NPI

Loran D Cook MD PC

  • Optometrist
  • Provo, UT
National Provider Identifier
1750487609
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
931131489934 Issued in UT
Legal business name
LORAN D COOK MD PC
Practice address
1055 N 300 W Ste 204
Provo, UT 84604-3374
Phone
(801) 357-7373
Fax
(801) 357-7217
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Loran Davis Cook, M.D.NPI 1396741948
Title
Physician
Phone
(801) 357-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 931131489934 UT Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 921109409934 UT
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 465810019 UT
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 49624391205 UT
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0767410010 UT
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 9018279011205 UT

Addresses

Primary practice location

1055 N 300 W Ste 204
Provo, UT 84604-3374

Mailing address

1055 N 300 W Ste 204
Provo, UT 84604-3374
Phone (801) 357-7373

Other names 1

  • Utah Valley Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

1055 N 300 W
Ste 204
Provo, UT 84604
Phone (801) 357-7373

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1750487609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 204",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043374",
            "telephone_number": "801-357-7373",
            "fax_number": "801-357-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 204",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043374",
            "telephone_number": "801-357-7373",
            "fax_number": "801-357-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORAN D COOK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LORAN",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "801-357-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "931131489934",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "921109409934",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "465810019",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "49624391205",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "0767410010",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "9018279011205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Valley Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.