Individual provider Active NPI

Dinita Cooley, O.D.

  • Optometrist
  • Quincy, IL
National Provider Identifier
1831486901
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010549 Issued in IL
Practice address
6232 Broadway St
Quincy, IL 62305-7924
Phone
(217) 912-4442
NPI assigned
Jul 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2011018493 MO
Optometrist 152W00000X 046.010549 IL Primary

Addresses

Primary practice location

6232 Broadway St
Quincy, IL 62305-7924

Mailing address

8309 N Knoxville Ave
Peoria, IL 61615-2170
Phone (309) 693-9540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20120924000622 IL Practitioner - Optometry 9739337387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J a K Enterprises IncGroup PAC ID 3173519014, 24 clinicians

Practice addresses (Care Compare)

1689 W Morton Ave
Jacksonville, IL 62650-2717
Phone (217) 243-6506

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010549ILMDOptometrist
2011018493MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
J a K Enterprises Inc Optometrist CurrentSince Jul 5, 2023 Accepting new patients
J a K Enterprises Inc Optometrist CurrentSince Jul 5, 2023 Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
Specs Carthage Optometrist PastSince Jul 4, 2012 Accepting new patients
J a K Enterprises Inc Optometrist Past Accepting new patients
J a K Enterprises Inc Optometrist PastSince Nov 24, 2025 Accepting new patients

Locations

125 N Main St
Canton, IL 61520
Phone (309) 647-0366

907 W Marketview Dr
Champaign, IL 61822
Phone (217) 351-8822

3755 N Water St
Decatur, IL 62526
Phone (217) 675-7111

331 W 1st Dr
Decatur, IL 62521
Phone (217) 422-3881

412 Riverside Dr
East Peoria, IL 61611
Phone (309) 694-2273

1265 N Henderson St
Galesburg, IL 61401
Phone (309) 343-7799

1689 W Morton Ave
Jacksonville, IL 62650
Phone (217) 243-6506

1477 Woodlawn Rd
Lincoln, IL 62656
Phone (217) 735-1707

17A Litchfield Plz
Litchfield, IL 62056
Phone (217) 385-0922

1700 E College Ave
Ste 3
Normal, IL 61761
Phone (309) 454-2233

3287 Court St
Pekin, IL 61554
Phone (309) 353-9313

8309 N Knoxville Ave
Ste 1
Peoria, IL 61615
Phone (309) 713-3664

8309 N Knoxville Ave
Peoria, IL 61615
Phone (309) 693-9540

4620 N University St
Peoria, IL 61614
Phone (309) 692-8222

3323 Frontage Rd
Peru, IL 61354
Phone (815) 220-0652

1712 W Reynolds St
Pontiac, IL 61764
Phone (309) 693-9540

6232 Broadway St
Quincy, IL 62305
Phone (217) 912-4442

4032 46th Ave
Rock Island, IL 61201
Phone (309) 786-9734

3055 Wabash Ave
Springfield, IL 62704
Phone (217) 793-2273

2409 N Dirksen Pkwy
Springfield, IL 62702
Phone (217) 679-5251

3209 E Lincolnway
Sterling, IL 61081
Phone (815) 626-6006

8 Cherry Tree Shopping Ctr
Washington, IL 61571
Phone (309) 444-2277

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1831486901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152170",
            "telephone_number": "309-693-9540",
            "fax_number": "309-693-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623057924",
            "telephone_number": "217-912-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "DINITA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2011018493",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.