DR. BENJAMIN BRYAN COOK (O.D.) – Optometrist, NPI 1053752907

DR. BENJAMIN BRYAN COOK (O.D.) is a healthcare provider. based in Palm harbor, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODP-100289 (ID). The NPI Number for DR. BENJAMIN BRYAN COOK (O.D.) is 1053752907

Main info

Male
Sole Proprietor
13 Years Of Experience
Name
DR. BENJAMIN BRYAN COOK (O.D.)
NPI
1053752907
Phone
(727) 491-3786
Address
3384 TAMPA RD
Enumeration Date
8 July 2013
Last Update Date
15 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139792929
Graduation Year
2013 (13 years ago)
PAC ID
5092949503
Group Practice PAC ID
0042362527
Professional Enrollment ID
I20131015002119
Address ID
FL336175403TA5201XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:12State licenses:2Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. BENJAMIN BRYAN COOK (O.D.)

  • 3384 TAMPA RD

    PALM HARBOR, FL 346843425

    Phone: (727) 491-3786

    Type: Mailing

  • 3384 Tampa Rd

    Palm Harbor, FL 346843425

    Phone: (727) 491-3786

    Type: Location

  • PO BOX 207151

    DALLAS, TX 753207151

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Mailing

  • 5201 E BUSCH BLVD

    TAMPA, FL 33617

    Phone: (813) 979-2929

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $361.

Total Amount is formed as General ($361) + Research ($0) + Ownership ($0) = $361.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: CooperVision Inc. ($187).

Total Amount

$361

General + Research + Ownership

Payments

6

Total payment records

General Amount

$361

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131015002119IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34684)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042362527View full group profile
NameSpecialtyState
O P T O M E T R YFL
-FL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YMO
O P T O M E T R YFL
O P T O M E T R YMO
-FL

Reviews

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Frequently asked questions

Does DR. BENJAMIN BRYAN COOK (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. BENJAMIN BRYAN COOK (O.D.) uses 1053752907.
Does the file indicate DR. BENJAMIN BRYAN COOK (O.D.) is practicing under active NPI?
Directory data currently reports DR. BENJAMIN BRYAN COOK (O.D.) as active.
What is DR. BENJAMIN BRYAN COOK (O.D.)'s specialty?
The listing groups DR. BENJAMIN BRYAN COOK (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. BENJAMIN BRYAN COOK (O.D.) based?
DR. BENJAMIN BRYAN COOK (O.D.) is tied to Palm Harbor, Florida in the data we show; additional addresses may exist on the full record.
Is the information about DR. BENJAMIN BRYAN COOK (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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