Individual
DR. BENJAMIN BRYAN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5201 E BUSCH BLVD, TAMPA, FL 33617
(813) 979-2929
Mailing address
PO BOX 207151, DALLAS, TX 75320-7151
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODP-100289
ID
152W00000X
Optometrist
Primary
OPC-4823
FL
152WC0802X
Corneal and Contact Management Optometrist
ODP-100289
ID
152WC0802X
Corneal and Contact Management Optometrist
OPC-4823
FL
Other
Enumeration date
07/08/2013
Last updated
12/15/2020
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