Individual provider Active NPI

Adam Randal Cox, O.D.

  • Optometrist
  • Atlanta, TX
National Provider Identifier
1770838401
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8009TG Issued in TX
Practice address
719 W Main St
Atlanta, TX 75551-3425
Phone
(903) 796-8288
Fax
(903) 796-9071
NPI assigned
Jul 18, 2012
Last updated
Aug 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8009T TX
Optometrist 152W00000X 8009TG TX Primary

Addresses

Primary practice location

719 W Main St
Atlanta, TX 75551-3425

Mailing address

719 W Main St
Atlanta, TX 75551-3425
Phone (903) 796-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120813000501 TX Practitioner - Optometry 1658527353 Reassigns benefits to 1 organization
I20180808001545 LA Practitioner - Optometry 1658527353 Practice locations: Shreveport, LA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Family Eye Care Clinic PCGroup PAC ID 9638171317, 4 clinicians

Practice addresses (Care Compare)

2611 Greenwood Rd
Shreveport, LA 71103-3907
Phone (318) 212-2020

719 W Main St
Atlanta, TX 75551-3425

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8009TXMDAssistant Behavior Analyst
8009TTXMDOptometrist
8009TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care Clinic PC Optometrist CurrentSince Jul 18, 2012 Accepting new patients

Locations

2611 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-2020

719 W Main St
Atlanta, TX 75551
Phone (903) 796-8288

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345680000000",
    "number": "1770838401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W MAIN ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513425",
            "telephone_number": "903-796-8288",
            "fax_number": "903-796-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W MAIN ST",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "755513425",
            "telephone_number": "903-796-8288",
            "fax_number": "903-796-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "ADAM",
        "middle_name": "RANDAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8009T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8009TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, TX

Sources for this page

Verify at the official NPI Registry.