HUBERT L. COCKRUM OD PA (NPI# 1801066360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801066360 |
| Entity Type | Organization |
| Organization Name | HUBERT L. COCKRUM OD PA |
| Practice Address |
2183 Highway 62 W Mountain Home AR 72653-6500 |
| Practice Telephone | 8704251112 |
| Practice Fax Number | 8704251278 |
| Mailing Telephone | 8704251112 |
| Mailing Fax Number | 8704251278 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. HUBERT LAWERENCE COCKRUM (DOCTOR) |
| Authorized Official Telephone | 8704251112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2230 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ALWAYS VISION | 97283 | 01 |
| AR | 110615722 | 05 | |
| AR | AVESIS | 44839 | 01 |
| AR | SPECTERA | 45623 | 01 |
| AR | RAILROAD MEDICARE | P00056615 | 01 |
| Street Address |
2183 HIGHWAY 62 W |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265661938 | Cockrum Vision Clinic | Optometrist | 2183 Highway 62 W, Mountain Home, AR 72653-6500 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
|---|---|---|---|---|
| 1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
| 1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
| 1477926830 | Dara Auyeung | Optometrist | Eye Clinic 112e, Mountain Home, TN 37684-4000 | 2015-11-07 |
| 1538596671 | Dong Chan Suk | Optometrist | 99 Sidney St, Eye Clinic, Mountain Home, TN 37684 | 2013-10-03 |
| 1770713240 | Gary Michael Nadolsky | Optometrist | Corner of Lamont and Sydney Streets Building 200, Mountain Home, TN 37684 | 2009-07-19 |
| 1770748873 | Jonathan Paul Norris | Optometrist | 265 N 3rd E, Mountain Home, ID 83647-2734 | 2008-07-28 |
| 1487719423 | Langevin Vision Clinic | Optometrist | 115 South College Street, Mountain Home, AR 72653 | 2006-12-27 |
| 1841304391 | Dax Alan Gay | Optometrist | 809 Lamont Street, Mountain Home, TN 37684 | 2006-08-19 |
| 1700999448 | Nanette M Coelho | Optometrist | Building 8, Vamc Eye Clinic, Mountain Home, TN 37684 | 2006-08-16 |
| 1861405243 | Whitney D Mcfall | Optometrist | 360 Highway 5 N, Mountain Home, AR 72653-3039 | 2006-08-15 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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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.