Jennifer Brady Cook, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3566 Issued in FL

Practice address

17655 North Dale Mabry
Lutz, FL 33548-3512

Phone

(813) 425-9596

Fax

(813) 463-1806

NPI assigned

Mar 5, 2007

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 FL

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

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Michael Cook LLC

  • Optometrist
  • Tampa, FL
  • NPI 1780830380
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1831228873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SAMARA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184305",
            "telephone_number": "813-935-3507",
            "fax_number": "813-463-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17655 NORTH DALE MABRY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483512",
            "telephone_number": "813-425-9596",
            "fax_number": "813-463-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JENNIFER",
        "middle_name": "BRADY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "OPC 3566",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compass Neurology
• Deborah Jane Cone
• Emily Archer Connelly, MOT
• Tad Robert Connine, MD
• Conviva Medical Center Management LLC
• Aaron Lamar Cooks, MD
• Makenna Jane Cooley
• Gabriel Adam Copello, MA
• Cora Health
• Carol Winifred Cormick, M.S.

• Optometrist in Lutz, FL
• Providers in Lutz, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.