Individual provider Active NPI

Justin Cocheran, O.D.

  • Optometrist
  • Anadarko, OK
National Provider Identifier
1962692822
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2518 Issued in OK
Practice address
802 W Petree Rd
Anadarko, OK 73005-6026
Phone
(405) 326-3942
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2518 OK Primary

Addresses

Primary practice location

802 W Petree Rd
Anadarko, OK 73005-6026

Mailing address

802 W Petree Rd
Anadarko, OK 73005-6026
Phone (405) 326-3942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20071005000670 OK Practitioner - Optometry 8729173646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

734 W Petree Rd
Anadarko, OK 73005-6024
Phone (405) 247-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2518OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cocheran Family Eye Care LLC Optometrist CurrentSince Aug 13, 2007 Accepting new patients
Lovells Pharmacy Inc PastSince Nov 18, 2025 Accepting new patients

Locations

802 W Petree Rd
Anadarko, OK 73005
Phone (405) 247-3348

734 W Petree Rd
Anadarko, OK 73005
Phone (405) 247-3937

Organizations & group practices 2

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1962692822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W PETREE RD",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730056026",
            "telephone_number": "405-326-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W PETREE RD",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730056026",
            "telephone_number": "405-326-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHERAN",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anadarko, OK

Sources for this page

Verify at the official NPI Registry.