John Kenneth Cooke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5561T Issued in TX

Practice address

1119 S 31St St
Temple, TX 76504-5214

Phone

(254) 773-3248

Fax

(866) 752-0649

NPI assigned

Aug 1, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooke Vision, PLLCGroup PAC ID 1850518002, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cooke Vision, PLLC

  • Optometrist
  • Killeen, TX
  • NPI 1295156800
  Medicare reassignment Care Compare group NPD Authorized official
• Russell Rowe, MD, PA

  • Dermatology Physician
  • Gatesville, TX
  • NPI 1922658897
  NPD
• Temple Vision

  • Exclusive Provider Organization
  • Temple, TX
  • NPI 1689813651
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1972510329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045214",
            "telephone_number": "254-773-3248",
            "fax_number": "866-752-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045214",
            "telephone_number": "254-773-3248",
            "fax_number": "866-752-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "JOHN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5561T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Cook, DO
• Andrew Cook, PH.D.
• Kirk L Cook, D.C.
• Mary Ann Cook, CRNA
• Jessica Cooke
• John A Cooney, PH. D.
• Aaron Dean Cooper
• Aftesha Cooper
• James Kevin Cooper, MD
• Sara Cooper, M.D.

• Optometrist in Temple, TX
• Providers in Temple, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.