| Cookeville Eye Specialists, Pllc | |
|
1125 Perimeter Park Dr Ste 200, Cookeville, TN 38501-0912 | |
| (931) 528-1304 | |
| (931) 372-8958 |
| Full Name | Cookeville Eye Specialists, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1125 Perimeter Park Dr Ste 200, Cookeville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033254289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T1567 (Tennessee) | Primary |
| 207W00000X | Ophthalmology | MD024999 (Tennessee) | Secondary |
| Provider Name | Faramarz Fred Hidaji |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518956119 PECOS PAC ID: 1254225378 Enrollment ID: I20040210000957 |
| Provider Name | Cory J Bosanko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730180704 PECOS PAC ID: 3274561170 Enrollment ID: I20050802000179 |
| Provider Name | Dennis L Cosgrove |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669437901 PECOS PAC ID: 1052582483 Enrollment ID: I20110915000530 |
| Provider Name | Michael S Galloway |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063491421 PECOS PAC ID: 7012939721 Enrollment ID: I20111201000458 |
| Provider Name | Pamela Cosgrove |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114917028 PECOS PAC ID: 8426191685 Enrollment ID: I20191216000562 |
| Provider Name | Raja S Goli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598719940 PECOS PAC ID: 2961492863 Enrollment ID: I20200310000739 |
| Provider Name | Brittany Bliss Denaro |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356702773 PECOS PAC ID: 9638575277 Enrollment ID: I20220613003166 |
| Provider Name | Michael P Jones |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164589164 PECOS PAC ID: 7315047479 Enrollment ID: I20240521000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Cookeville Eye Specialists, Pllc 1125 Perimeter Park Dr Ste 200, Cookeville, TN 38501-0912 Ph: (931) 528-1304 | Cookeville Eye Specialists, Pllc 1125 Perimeter Park Dr Ste 200, Cookeville, TN 38501-0912 Ph: (931) 528-1304 |
Eye Centers Of Tennessee, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 999 Guardian Way, Cookeville, TN 38501 Phone: 931-650-4100 Fax: 931-650-4101 | |
Dr. Deanna Apple Risher, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 585 E 10th St, Cookeville, TN 38501 Phone: 931-526-6711 | |
Dr. James E. Miller, OPTM Optometrist Medicare: May Accept Medicare Assignments Practice Location: 628 E 10th St, Cookeville, TN 38501 Phone: 931-526-2143 Fax: 931-526-5217 | |
Matthew Kurt Mosteller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 768 S Jefferson Ave, Cookeville, TN 38501 Phone: 931-646-5900 Fax: 931-646-5901 | |
Dr. Rachel Marie Wakefield, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 585 E 10th St, Cookeville, TN 38501 Phone: 931-526-6711 Fax: 931-526-6712 | |
Mullins Vision Associates,pllc Optometrist Medicare: Medicare Enrolled Practice Location: 585 E 10th St, Cookeville, TN 38501 Phone: 931-526-6711 Fax: 931-526-6712 |