Organization Active NPI

Michael Cook LLC

  • Optometrist
  • Tampa, FL
National Provider Identifier
1780830380
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3439 Issued in FL
Legal business name
MICHAEL COOK LLC
Practice address
11910 Bruce B. Downs Boulevard
Tampa, FL 33647
Phone
(813) 973-1151
NPI assigned
Aug 14, 2008
Last updated
Jan 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Dr. Michael A. Cook, O.D.NPI 1962617043
Title
President/ Optometrist
Phone
(813) 973-1151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3439 FL Primary

Addresses

Primary practice location

11910 Bruce B. Downs Boulevard
Tampa, FL 33647

Mailing address

3015 Samara Dr
Tampa, FL 33618-4305
Phone (813) 935-3507

National Provider Directory

National Provider Directory

Locations

19910 Bruce B Downs Blvd
Tampa, FL 33647
Phone (813) 907-7587

Practitioners & affiliated clinicians

Practitioners 2

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": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1780830380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SAMARA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184305",
            "telephone_number": "813-935-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 BRUCE B. DOWNS BOULEVARD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "813-973-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL COOK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/ OPTOMETRIST",
        "authorized_official_telephone_number": "813-973-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.