David S Cook, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003808 Issued in MI

Practice address

8809 Pine Ridge Dr
Cadillac, MI 49601-1289

Phone

(231) 775-3755

Fax

(231) 775-1710

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David S Cook O.D. P.C.Group PAC ID 3779538848, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drcook@cadillacfamilyeyecare.eyefinity-direct.com
• Direct secure messaging: dscook@cadillacfamilyeyecare.eyefinity-direct.com

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.

• David S Cook O.D. P.C.

  • Optometrist
  • Cadillac, MI
  • NPI 1417900077
  Medicare reassignment Care Compare group NPD Authorized official
• Family Eye Care Associates of Escanaba, PC

  • Optometrist
  • Escanaba, MI
  • NPI 1841326238
  NPD (past)
• Lakeside Vision Inc

  • Optometrist
  • Prudenville, MI
  • NPI 1790789550
  NPD (past)
• Lakeside Vision, Prudenville, PC

  • Optometrist
  • Prudenville, MI
  • NPI 1003557133
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1780753749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8809 PINE RIDGE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011289",
            "telephone_number": "231-775-3755",
            "fax_number": "231-775-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8809 PINE RIDGE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011289",
            "telephone_number": "231-775-3755",
            "fax_number": "231-775-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "DC003808",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944610320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Jayne Cole, MA LPC
• Ryan Parker Combs, H.I.S
• Philip N Connor
• Alan J Conrad, M.D.
• Dianne M Conrad, FNP, RN, MSN
• Rhonda Cottrell
• Counseling Associates of Northern Michigan PLLC
• Amber Lynn Cowley
• Douglas E Cox, MD
• Emerson Cox

• Optometrist in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.
• 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.