Organization Active NPI

Dr. Robert E. Cooper, Optometrist, Inc.

  • Corneal and Contact Management Optometrist
  • Oklahoma City, OK
National Provider Identifier
1770703563
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
975 Issued in OK
Legal business name
DR. ROBERT E. COOPER, OPTOMETRIST, INC.
Practice address
3330 NW 56TH St
Suite 103
Oklahoma City, OK 73112-4479
Phone
(405) 946-4398
NPI assigned
Apr 26, 2007
Last updated
Aug 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Robert CooperNPI 1407964935
Title
O.D., C.E.O.
Phone
(405) 946-4398

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 975 OK Primary

Addresses

Primary practice location

3330 NW 56TH St
Suite 103
Oklahoma City, OK 73112-4479

Mailing address

3330 NW 56TH St
Suite 103
Oklahoma City, OK 73112-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127000665 OK Part B Supplier - Clinic/Group Practice 8224088257 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0715250Dr Robert Cooper3330 NW 56TH, Suite 103, Oklahoma City, OK 73112Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3330 NW 56th St
Ste 103
Oklahoma City, OK 73112
Phone (405) 946-4398

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1770703563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "SUITE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "SUITE 103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-946-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT E. COOPER, OPTOMETRIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "O.D., C.E.O.",
        "authorized_official_telephone_number": "405-946-4398"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.