Individual provider Active NPI

Stephanie Akemi Cooper, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1811249147
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002284 Issued in AZ
Practice address
1502 N Tucson Blvd
Tucson, AZ 85716-3423
Phone
(520) 326-4321
Fax
(520) 326-4736
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002284 AZ Primary

Addresses

Primary practice location

1502 N Tucson Blvd
Tucson, AZ 85716-3423

Mailing address

3626 W Pony TRL
Tucson, AZ 85742-8846
Phone (541) 740-5954

Other practice location 1

4144 N Oracle Rd Ste 180
Tucson, AZ 85705-8704
Phone (520) 467-4472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20190110000603 AZ Practitioner - Optometry 5395027767 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002284AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sean J. McCafferty, MD, PC CurrentSince Nov 1, 2018 Accepting new patients
Cornea Associates, PLLC CurrentSince Nov 1, 2018 Accepting new patients
Yuma Vision Center, Inc Optometrist CurrentSince Dec 20, 2021 Accepting new patients
Hodges Eye Care & Surgical Center, Inc. CurrentSince Aug 18, 2023 Accepting new patients
Christopher M Seniw MD PC PastSince Nov 11, 2002 Accepting new patients

Locations

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

1502 N Tucson Blvd
Tucson, AZ 85716
Phone (520) 326-4321

2177 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 797-2020

6422 E Speedway Blvd
Tucson, AZ 85710

4144 N Oracle Rd
Ste 180
Tucson, AZ 85705
Phone (520) 467-4472

5405 E Granite St
Bldg 2527
Tucson, AZ 85707
Phone (520) 514-2029

2750 S Pacific Ave
Ste D
Yuma, AZ 85365
Phone (928) 580-6356

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1811249147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 W PONY TRL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428846",
            "telephone_number": "541-740-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N TUCSON BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163423",
            "telephone_number": "520-326-4321",
            "fax_number": "520-326-4736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4144 N Oracle Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857058704",
            "country_code": "US",
            "telephone_number": "520-467-4472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEPHANIE",
        "middle_name": "AKEMI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.