George Leonard Cooper, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9600893 Issued in NC

Practice address

2139 Valleygate Dr
Ste 101a
Fayetteville, NC 28304-3666

Phone

(910) 323-2002

Fax

(910) 323-3477

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1851395602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 VALLEYGATE DR",
            "address_2": "STE 101A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043666",
            "telephone_number": "910-323-2002",
            "fax_number": "910-323-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 VALLEYGATE DR",
            "address_2": "STE 101A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043666",
            "telephone_number": "910-323-2002",
            "fax_number": "910-323-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "GEORGE",
        "middle_name": "LEONARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9600893",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1925301",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "31520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER NUMBER",
            "identifier": "0838866",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "1083N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891083N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Corbin Cooke, M.D.
• Emily Cooley, PHARMD
• Chidi E Cooper, CADC
• Elizabeth Mary Cooper, LCSW
• Ellen McLaurin Cooper, FNP
• Hannah Leigh Cooper
• Kenyetta Lovelee Cooper, LSCW, LCAS, CCS
• Madison Cooper
• Sharon P Cooper, MD
• Sydney Cooper

• Ophthalmology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.