Organization
COCOS SHOE STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J COCO PEDORTHIST (PRESIDENT)
(337) 439-4751
Entity
Organization
Contact information
Practice address
2314 RYAN ST, LAKE CHARLES, LA 70601-7320
(337) 439-4751
(337) 439-1395
Mailing address
2314 RYAN ST, LAKE CHARLES, LA 70601-7320
(337) 439-4751
(337) 439-1395
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1392383
—
LA
Enumeration date
01/09/2007
Last updated
03/11/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up