Individual provider Active NPI

Corinne Cooper, O.D.

  • Optometrist
  • Sparks, NV
National Provider Identifier
1871515809
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
559 Issued in NV
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

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100510945MedicaidNV

Other names 1

  • Cori Cooper Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061208000132 NV Practitioner - Optometry 5597764175 Reassigns benefits to 1 organization
I20221010002033 HI Practitioner - Optometry 5597764175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
559NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Wong Optometry PC Optometrist Current Accepting new patients
Michelle Wong Optometry PC Optometrist CurrentSince Sep 25, 2023 Accepting new patients
Hawaii Vision Specialists LLP Optometrist CurrentSince Sep 1, 2022 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.

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

Verify at the official NPI Registry.