Jeffrey George Cook, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10313631-9934 Issued in UT

Practice address

574 W 1600 N
Orem, UT 84057-2556

Phone

(801) 210-9339

Fax

(801) 960-2887

NPI assigned

Jul 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Optometry

Education

Southern California College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeff.cook@direct.revolutionehr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cook Family Eyecare PLLC

  • Optometrist
  • Orem, UT
  • NPI 1063166114
  Medicare reassignment NPD Authorized official
• The Eye Doctor & Optical

  dba Cook Family Eyecare

  • Optometrist
  • Orem, UT
  • NPI 1407516495
  NPD Authorized official

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1932541489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 N 190 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046218",
            "telephone_number": "208-360-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 W 1600 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572556",
            "telephone_number": "801-210-9339",
            "fax_number": "801-960-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JEFFREY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "10313631-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932541489",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Rene Conover
• Conti-Care, LLC
• Kerry Conway
• Cook Family Eyecare PLLC
• Breeanna Cook
• Kevin Cook, LCSW
• Kelli D Coombs, M.A., CCC-SLP
• Cassandra Cooper
• Emily Cooper, CSW
• Jenny Katherine Cooper

• Optometrist in Orem, UT
• Providers in Orem, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.