Active NPI
Corinne Cooper, O.D.
- Optometrist
- Sparks, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 559
- Practice address
- 1965 Baring Blvd
Sparks, NV 89434-6734 - Phone
- (775) 358-1020
- Fax
- (775) 358-7951
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 559 | NV | Primary |
Addresses
Primary practice location
1965 Baring Blvd
Sparks, NV 89434-6734
Mailing address
1965 Baring Blvd
Sparks, NV 89434-6734
Phone (775) 358-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100510945 | Medicaid | NV |
Other names 1
- Cori Cooper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 559 | NV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Wong Optometry PC | Optometrist | Current | Accepting new patients |
| Michelle Wong Optometry PC | Optometrist | Current | Accepting new patients |
| Hawaii Vision Specialists LLP | Optometrist | Current | Accepting new patients |
Locations
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
392 Kapiolani St
Hilo, HI 96720
Phone (803) 935-0255
126 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-0255
101 Pakaula St
Kahului, HI 96732
Phone (808) 871-7012
448 S Maine St
Fallon, NV 89406
Phone (775) 423-7411
9700 S McCarran Blvd
Reno, NV 89523
Phone (775) 746-8884
18601 Wedge Pkwy
Ste 2B
Reno, NV 89511
Phone (775) 358-1020
18601 Wedge Pkwy
Ste 2C
Reno, NV 89511
Phone (775) 358-1020
1965 Baring Blvd
Sparks, NV 89434
Phone (775) 358-1020
Organizations & group practices 3
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.
-
- Optometrist
- Reno, NV
- NPI 1780233460
-
- Optometrist
- Reno, NV
- NPI 1376125351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1871515809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 BARING BLVD",
"city": "SPARKS",
"state": "NV",
"postal_code": "894346734",
"telephone_number": "775-358-1020",
"fax_number": "775-358-7951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 BARING BLVD",
"city": "SPARKS",
"state": "NV",
"postal_code": "894346734",
"telephone_number": "775-358-1020",
"fax_number": "775-358-7951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CORINNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100510945",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CORI",
"last_name": "COOPER",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.