Individual provider Active NPI

Lee Cook, L.D.O.

  • Optician
  • Atlanta, GA
National Provider Identifier
1790059160
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
GA001342 Issued in GA
Practice address
2025 Peachtree Rd NE
Suite 1121
Atlanta, GA 30309-1413
Phone
(678) 463-0868
NPI assigned
Mar 2, 2012
Last updated
Mar 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/Technologist 156FC0800X GA001342 GA
Optician 156FX1800X GA001342 GA Primary

Addresses

Primary practice location

2025 Peachtree Rd NE
Suite 1121
Atlanta, GA 30309-1413

Mailing address

2025 Peachtree Rd NE
Suite 1121
Atlanta, GA 30309-1413
Phone (678) 463-0868

Other identifiers 1

IdentifierTypeStateIssuer
GA001342OtherGALICENSED DISPENSING OPTICIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GA001342GAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1790059160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 PEACHTREE RD NE",
            "address_2": "SUITE 1121",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091413",
            "telephone_number": "678-463-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 PEACHTREE RD NE",
            "address_2": "SUITE 1121",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091413",
            "telephone_number": "678-463-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "L.D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "GA",
            "license": "GA001342",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "GA001342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DISPENSING OPTICIAN",
            "identifier": "GA001342",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.