Teresa T Cooperrider, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4055/T215 Issued in OH

Practice address

637 N Union St
Loudonville, OH 44842-1074

Phone

(419) 994-4287

Fax

(419) 994-2612

NPI assigned

Sep 21, 2005

Last updated

Mar 27, 2008By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tcooperrider152237@direct.ccf.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment Care Compare group NPD
• Wooster Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Wooster, OH
  • NPI 1033135009
  Medicare reassignment NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1790771160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 N UNION ST",
            "city": "LOUDONVILLE",
            "state": "OH",
            "postal_code": "448421074",
            "telephone_number": "419-994-4287",
            "fax_number": "419-994-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 N UNION ST",
            "city": "LOUDONVILLE",
            "state": "OH",
            "postal_code": "448421074",
            "telephone_number": "419-994-4287",
            "fax_number": "419-994-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERRIDER",
        "first_name": "TERESA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4055/T215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0893323",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber L Caplan, CNP
• Heather Carney
• Coler Drug Loudonville, LTD (Shrivers Pharmacy #11)
• Colonial Manor
• Colonial Manor Health Care Center, Inc.
• Tina Marie Cooperrider, L. AC.
• Cheri E Cosgrove
• Dunamis Auxano LLC (Family Health and Healing Clinic)
• Dunamis Auxano LLC (Family Health and Healing Clinic)
• Exceptional Home Care, LLC

• Optometrist in Loudonville, OH
• Providers in Loudonville, OH by specialty
• Optometrist in Ohio

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