# JEFFREY COOPER O.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821271354
- **Authorized official:** DR. JENNIFER COLAVITO O.D. (OPTOMETRIST)
- **Authorized official phone:** (212) 758-0772

## Contact information

- **Practice address:** 539 PARK AVE, NEW YORK, NY 10065-8167
- **Practice address phone:** (212) 758-0772
- **Practice address fax:** (212) 758-3532
- **Mailing address:** 539 PARK AVE, NEW YORK, NY 10065-8167
- **Mailing address phone:** (212) 758-0772
- **Mailing address fax:** (212) 758-3532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | VUT006115 | NY | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 12/07/2007