NPIMap

Organization Active NPI

Phillip L. Cook, O.D., P.C.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1942493051
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
814 Issued in OK
Legal business name
PHILLIP L. COOK, O.D., P.C.
Doing business as
Specialty Vision Center
Practice address
4520 S Harvard Ave
Suite 150
Tulsa, OK 74135-2925
Phone
(918) 747-1578
Fax
(918) 747-2503
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Dr. Phillip Lane Cook, O.D.
Title
President
Phone
(918) 747-1578

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 814 OK Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 814 OK
Low Vision Rehabilitation OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WL0500X 814 OK

Addresses

Primary practice location

4520 S Harvard Ave
Suite 150
Tulsa, OK 74135-2925

Mailing address

4520 S Harvard Ave
Suite 150
Tulsa, OK 74135-2925
Phone (918) 747-1578

Other identifiers 1

IdentifierTypeStateIssuer
100790160AMedicaidOK

Other names 1

  • Specialty Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

4520 S Harvard Ave
Ste 150
Tulsa, OK 74135
Phone (918) 293-9363

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1942493051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 S HARVARD AVE",
            "address_2": "SUITE 150",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352925",
            "telephone_number": "918-747-1578",
            "fax_number": "918-747-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 S HARVARD AVE",
            "address_2": "SUITE 150",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352925",
            "telephone_number": "918-747-1578",
            "fax_number": "918-747-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP L. COOK, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-747-1578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "814",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "814",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OK",
            "license": "814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100790160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.