NPIMap

Organization Active NPI

Jeffrey Cooper O.D., P.C.

  • Optometrist
  • Hartsdale, NY
National Provider Identifier
1982467551
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JEFFREY COOPER O.D., P.C.
Doing business as
Central Eyes Optical
Practice address
161 South Central Park Avenue
Hartsdale, NY 10530
Phone
(914) 948-1700
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Jeffrey CooperNPI 1295800050
Title
OD
Phone
(718) 236-4186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

161 South Central Park Avenue
Hartsdale, NY 10530

Mailing address

1448 86TH St
Brooklyn, NY 11228-3444
Phone (718) 265-2020

Other names 1

  • Central Eyes Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040824000019 NY Part B Supplier - Clinic/Group Practice 8628042892 Receives reassigned benefits from 19 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hartsdale, NY; New York, NY; Brooklyn, NY; Bronx, NY

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey Cooper OD PC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3016 30th Dr
#4
Astoria, NY 11102
Phone (718) 225-6100

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1982467551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283444",
            "telephone_number": "718-265-2020",
            "fax_number": "718-837-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SOUTH CENTRAL PARK AVENUE",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "10530",
            "telephone_number": "914-948-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY COOPER O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "718-236-4186"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Eyes Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.