DR. HEATHER R COOK (OD) – Optometrist, NPI 1710969894

DR. HEATHER R COOK (OD) is a healthcare provider. based in Milwaukie, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2628AT (OR). The NPI Number for DR. HEATHER R COOK (OD) is 1710969894

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATHER R COOK (OD)
NPI
1710969894
Phone
(503) 557-2020
Address
11086 SE OAK ST
Enumeration Date
15 November 2005
Last Update Date
20 February 2021

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5032272020
Graduation Year
1997 (29 years ago)
PAC ID
3870637382
Group Practice PAC ID
9234039926
Professional Enrollment ID
I20100222000838
Address ID
OR972091614PO1955XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

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Provider Addresses for DR. HEATHER R COOK (OD)

  • 11086, Southeast Oak Street, Kellogg Park, Milwaukie, Metro, Clackamas County, Oregon, 97222, United States

    MILWAUKIE, OR 972226692

    Phone: (503) 557-2020

    Fax: (503) 344-5110

    Type: Mailing

  • 1955, Northwest Northrup Street, Northwest District, Portland, Metro, Multnomah County, Oregon, 97209, United States

    PORTLAND, OR 972091614

    Phone: (503) 227-2020

    Fax: (503) 222-0614

    Type: Location

  • PO BOX 22009

    PORTLAND, OR 972692009

    Phone: (503) 558-7372

    Fax: (503) 344-5140

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2023-07-13 • Largest payer in this snapshot: Astellas Pharma US Inc ($112).

Total Amount

$156

General + Research + Ownership

Payments

2

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-13

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: 2010-02-22

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
I20100222000838IOptometryORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system8181$0
92012Established patient problem focused exam of visual system2523$0
92083Exam of visual field with extended testing1515$0
92133Imaging of optic nerve1513$0
View full utilization report →

Insurance plans in this area (ZIP 97222)

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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: 9234039926View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
O P T O M E T R YOR
O P T O M E T R YOR
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YCA
-OR
O P H T H A L M O L O G YOR
-OR
O P H T H A L M O L O G YOR

Reviews

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Frequently asked questions

What unique ID ties claims to DR. HEATHER R COOK (OD)?
NPI 1710969894 is assigned to DR. HEATHER R COOK (OD) under the national enumeration system.
Is DR. HEATHER R COOK (OD) active in the national directory?
DR. HEATHER R COOK (OD)'s public NPI profile is in an active state.
What does DR. HEATHER R COOK (OD) treat or focus on?
Patients typically see DR. HEATHER R COOK (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. HEATHER R COOK (OD)'s primary listing?
We display Milwaukie, Oregon because that is what the record indicates for DR. HEATHER R COOK (OD).
What if Milwaukie, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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