Active NPIIndividual provider

Dr. Rita D Cook, OD

Optometrist in Beaverton, Oregon

NPI Number1326035544
Practice location
14667 SW Teal Blvd, Beaverton, OR 97007-6194
Fax
503-579-0404
Last updated
July 17, 2013

Dr. Rita D Cook, OD is a Optometrist based in Beaverton, OR. Dr. Rita D Cook, OD holds the professional credentials of OD. The NPI number for Dr. Rita D Cook, OD is 1326035544 and holds license No. 2976AT (OR). The current practice location address is 14667 SW Teal Blvd, Beaverton, OR 97007-6194 and the office can be reached by phone at 503-579-2020 and by fax at 503-579-0404. The NPI was assigned on October 3, 2005 and the record was last updated in NPPES on July 17, 2013.

●Provider Profile Details

NPI Number
1326035544
Provider Name
Rita Debbie Cook
Credential
OD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Enumeration Date
October 3, 2005
Last Update Date
July 17, 2013
NPI Status
Active
Other Names
Dr. Rita Debbie Wallace, OD (Former Name)

◉Business Practice Location Address

Address
14667 SW Teal Blvd
Beaverton, OR 97007-6194
State
Oregon
ZIP
97007-6194
Country
US
Phone Number
503-579-2020
Fax Number
503-579-0404

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✉Business Mailing Address

Address
14667 SW Teal Blvd
Beaverton, OR 97007-6194
City
Beaverton
State
OR
ZIP
97007-6194
Phone Number
503-579-2020
Fax Number
503-579-0404

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Optometrist152W00000XYes2976ATOR
Optometrist, Corneal and Contact Management152WC0802XNo2976ATOR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Rita D Cook, OD?

The NPI number of Dr. Rita D Cook, OD is 1326035544. It was assigned on October 3, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Rita D Cook, OD?

Dr. Rita D Cook, OD is registered under the primary taxonomy Optometrist (code 152W00000X) and holds license No. 2976AT (OR).

Where does Dr. Rita D Cook, OD practice?

The practice location is 14667 SW Teal Blvd, Beaverton, OR 97007-6194. The office can be reached at 503-579-2020 (phone) or 503-579-0404 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326035544 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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