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Deactivated NPI 1346308046 Deactivated / Inactive NPI Male Practitioner

Dr. Phillip Lane Cook , OD

Optometrist • Tulsa, OK

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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. Phillip Cook has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2006
NPI Deactivation Date May 17, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Cook, OD was a registered Optometrist practicing in Tulsa, OK. Throughout an active medical career spanning 17 years, Dr. Cook provided care at the practice location at 4520 S HARVARD AVE until profile deactivation on 2023-05-17.

Historical Medicare Part B clinical services included established patient problem focused exam of visual system, established patient complete exam of visual system, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4520 S Harvard Ave
Suite 150

Tulsa, OK 741352925

Telephone 9187471578
Fax 9187472503
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
128 Specialists

Practicing in Tulsa, OK (943 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92012 Established patient problem focused exam of visual system
43 43 $114.91 $83.92
92014 Established patient complete exam of visual system
22 20 $164.41 $118.85
92004 New patient complete exam of visual system
16 16 $191.25 $140.18

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 814

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

6 Associated Practitioners
NPI 1205389566

Doctor of Optometry

NPI 1609066596

Doctor of Optometry

Dr. Jennifer Benton , PhD

Psychologist - Clinical

NPI 1609927219

Doctor of Philosophy (Ph.D.)

Jane Scott

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1639282270
NPI 1700042660

Doctor of Optometry

Dr. Cynthia Fuller , MD

Pediatrics - Developmental - Behavioral Pediatrics

NPI 1912010570

Doctor of Medicine (M.D.)

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 May 17, 2023

Record deactivated on May 17, 2023

NPI Profile Active October 15, 2014

NPI status registered as active in NPPES database

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Updated Practice Location October 15, 2014

Registered at 4520 S HARVARD AVE, SUITE 150, TULSA, OK 741352925 (Tel: 9187471578)

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Updated Business Mailing Address October 15, 2014

Registered at 4520 S HARVARD AVE, SUITE 150, TULSA, OK 741352925 (Tel: 9187471578)

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Provider Name / Credentials Updated October 15, 2014

Recorded as PHILLIP COOK, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2014

Optometrist (License #814 in OK)

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Initial NPI Registration & Enumeration December 05, 2006

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: 1346308046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: October 15, 2014
Deactivation Date: May 17, 2023

Mailing Address

4520 S Harvard Ave, Suite 150

Tulsa, OK 741352925

Phone: 9187471578

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.