Sam D Cooke, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2291 Issued in AR

Practice address

2402 Harrison St
Batesville, AR 72501-7421

Phone

(870) 793-4681

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Medicare enrollment (NPD)

Enrolled

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.

• Hayden Sowers Optometry PA

  dba White River Eye Care

  • Optometrist
  • Bald Knob, AR
  • NPI 1184041873
  Medicare reassignment

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1780752022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017421",
            "telephone_number": "870-793-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017421",
            "telephone_number": "870-793-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "SAM",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102740722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conway County Community Service, Inc
• Charlee Conyers
• Meagan Conyers
• Joseph Allen Cook, M.D.
• Rita Gail Cooke, APN
• Crystal D. Cordell, PHARM.D.
• Cornerstone Kids Therapy Services, Inc.
• Lauren Elizabeth Cornett, OT
• Amanda Janet Cowell, APNP
• David Ross Cox, CRNA

• Optometrist in Batesville, AR
• Providers in Batesville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.