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Deactivated NPI 1215056619 Deactivated / Inactive NPI Male Practitioner

Dr. Edward B Cooper , OD

Optometrist • Riverside, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Cooper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2007
NPI Deactivation Date June 08, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Cooper, OD was a registered Optometrist practicing in Riverside, CA. Throughout an active medical career spanning 13 years, Dr. Cooper provided care at the practice location at 1450 UNIVERSITY AVE until profile deactivation on 2020-06-08.

Practice Location & Contact Primary Location

Practice Address

1450 University Ave
#d

Riverside, CA 925074467

Telephone 9516828190
Fax 9516828240

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
81 Specialists

Practicing in Riverside, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 4630T

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Ralph Salisbury , OD

Optometrist - Corneal and Contact Management

NPI 1124079595

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 08, 2020

Record deactivated on June 08, 2020

NPI Profile Active March 19, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 19, 2015

Registered at 1450 UNIVERSITY AVE, #D, RIVERSIDE, CA 925074467 (Tel: 9516828190)

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Updated Business Mailing Address March 19, 2015

Registered at PO BOX 5579, RIVERSIDE, CA 925175579 (Tel: 9516828190)

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Provider Name / Credentials Updated March 19, 2015

Recorded as EDWARD COOPER, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2015

Optometrist (License #4630T in CA)

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Initial NPI Registration & Enumeration March 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215056619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: March 19, 2015
Deactivation Date: June 08, 2020

Mailing Address

Po Box 5579

Riverside, CA 925175579

Phone: 9516828190

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.