Individual
DR. MICHAEL S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1013 FARMINGTON AVE, WEST HARTFORD, CT 06107-2181
(860) 233-2020
(860) 236-4979
Mailing address
1013 FARMINGTON AVE, WEST HARTFORD, CT 06107-2181
(860) 233-2020
(860) 236-4979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002797
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713465
—
MA
Enumeration date
07/26/2006
Last updated
03/17/2018
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