Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Blake A Cooper, MD

Individual provider Specialist · NPI 1275579567

Dr. Blake A Cooper, MD is an Ophthalmology in Lenexa, Kansas. Graduated from Chicago College of Medicine and Surgery in 1997, 29 years ago. Practices with Retina Associates LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
29
Trained at
Chicago College of Medicine and Surgery
Licensed in
KS, MO
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8600 Quivira Rd Ste 100
Lenexa, KS 66215-2857
Phone: (913) 831-7400
Fax: (913) 831-7409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 0430052 (KS)
Specialist Taxonomy 174400000X · Licence 2001014975 (MO)
Ophthalmology Physician Taxonomy 207W00000X · Licence 2001014975 (MO)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence 0430052 (KS)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X · Licence 2001014975 (MO)

Record details

NPI number1275579567
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022
Mailing address8600 Quivira Rd Ste 100, Lenexa, KS 66215-2857

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 1997 (29 years in practice)
Group practice Retina Associates Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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