DR. MICHAEL G COOK (NPI# 1457360679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457360679 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL G COOK |
| Credential | OD |
| Practice Address |
3044 Goodman Road East Southaven MS 38672-8760 |
| Practice Telephone | 6623491660 |
| Practice Fax Number | 6623491663 |
| Mailing Telephone | 6623491660 |
| Mailing Fax Number | 6623491663 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2008-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 467 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00880118 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082053 | Michael Cook | Counselor | 2737 Northbrook Pl, Boulder, CO 80304-1406 | 2020-07-31 |
| 1477197580 | Michael L Cook | Massage Therapist | 13616 56th Ave Se, Everett, WA 98208-9480 | 2019-10-31 |
| 1912553108 | Michael Anthony Cook | Occupational Therapy Assistant | 134 Trailway Dr, Abilene, TX 79601-2726 | 2019-08-13 |
| 1023535200 | Michael Victor Cook | Dentist | 5005 Horizons Dr, Columbus, OH 43220-5287 | 2017-08-28 |
| 1538597125 | Michael Kevin Cook | Dentist | 3108 W. Deyoung St., Suite A, Marion, IL 62959-5548 | 2013-10-17 |
| 1144403288 | Michael Heath S. Cook | Family Medicine | 853 Lakeside Dr, Jenkins, KY 41537-9163 | 2007-12-12 |
| 1366563678 | Michael Watson Cook | Surgery | 3700 Saint Charles Ave Fl 3, New Orleans, LA 70115-4637 | 2007-04-03 |
| 1891824223 | Michael Jon Cook | Dentist | 3221 Silver Springs Dr, Louisville, KY 40220-3489 | 2007-03-02 |
| 1912083643 | Michael Harvey Cook | Dentist | 109 N 4th Ave, Teague, TX 75860 | 2006-10-27 |
| 1811084775 | Michael B Cook | Dentist | 3060 W Sylvania Ave, Toledo, OH 43613-4152 | 2006-10-10 |
| Street Address |
3044 GOODMAN ROAD EAST |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-8760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790185999 | Kellie Jones | Optometrist | 1890 Goodman Rd E Ste 10, Southaven, MS 38671-9504 | 2014-08-26 |
| 1770996407 | Desoto Eye and Ear | Optometrist | 5699 Getwell Rd Bldg G2, Southaven, MS 38672-7303 | 2014-06-10 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1720293566 | Kimberly Ambrosino | Optometrist | 6823 Elmore Rd, Southaven, MS 38671 | 2007-05-14 |
| 1881738532 | Jonathan William Wilson | Optometrist | 1890 Goodman Rd E Ste 100, Southaven, MS 38671-9504 | 2007-02-16 |
| 1336287572 | Micheal G Cook Od PC | Optometrist | 3044 Goodman Rd E, Southaven, MS 38672-8760 | 2007-02-01 |
| 1144388539 | Obreineyecare | Optometrist | 354 Stateline Rd W, Southaven, MS 38671-1610 | 2006-12-05 |
| 1235213687 | Alan Charles Smith | Optometrist | 1228 Goodman Rd E Ste 1, Southaven, MS 38671-9540 | 2006-10-24 |
| 1982633152 | Southaven Vision Center, Inc. | Optometrist | 484 Church Rd., Southaven, MS 38671-9714 | 2006-07-01 |
| 1023079068 | Heather Michelle Dowdy | Optometrist | 6811 Southcrest Pkwy, Southaven, MS 38671-9538 | 2006-03-29 |
| Find all providers in SOUTHAVEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.