Active NPI
Lee Cook, L.D.O.
- Optician
- Atlanta, GA
National Provider Identifier
1790059160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- GA001342
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA001342 | Other | GA | LICENSED 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
| License | State | Type | Specialty |
|---|---|---|---|
| GA001342 | GA | MD | Optician |
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.