Active NPI
Emily Kook, O.D.
- Optometrist
- Manhattan Beach, CA
National Provider Identifier
1912927419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12819 TPA
- Practice address
- 3200 N Sepulveda Blvd
E4
Manhattan Beach, CA 90266-2458 - Phone
- (310) 546-5568
- Fax
- (310) 546-5421
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 12819 TPA | CA | Primary |
Addresses
Primary practice location
3200 N Sepulveda Blvd
E4
Manhattan Beach, CA 90266-2458
Mailing address
1649 Colby Ave
# 206
Los Angeles, CA 90025-3073
Phone (714) 335-3149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12819 TPA | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1912927419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1649 COLBY AVE",
"address_2": "# 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253073",
"telephone_number": "714-335-3149",
"fax_number": "310-546-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 N SEPULVEDA BLVD",
"address_2": "E4",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662458",
"telephone_number": "310-546-5568",
"fax_number": "310-546-5421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOK",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12819 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.