Active NPI
Zachary Robert Cooper
- Eyewear Supplier
- Seattle, WA
National Provider Identifier
1790341675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 47-1436579
- Practice address
- 301 Queen Anne Ave N # 506
Seattle, WA 98109-4513 - Phone
- (206) 402-1711
- NPI assigned
- May 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 47-1436579 | WA | Primary |
Addresses
Primary practice location
301 Queen Anne Ave N # 506
Seattle, WA 98109-4513
Mailing address
301 Queen Anne Ave N # 506
Seattle, WA 98109-4513
Phone (206) 402-1711
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 |
|---|---|---|---|
| 47-1436579 | WA | MD | Eyewear Supplier |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1790341675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 QUEEN ANNE AVE N # 506",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094513",
"telephone_number": "206-402-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 QUEEN ANNE AVE N # 506",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094513",
"telephone_number": "206-402-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "ZACHARY",
"middle_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-15",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "WA",
"license": "47-1436579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.