Individual
DR. CHRISTINE WARE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.A.A.O
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000757
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009234802
—
VA
01
—
0761520001
DMERC CIGNA GOVERNMENT SERVICES
VA
01
—
337489
ANTHEM BLUE CROSS
VA
01
—
541206650
TRICARE
VA
Enumeration date
10/20/2005
Last updated
07/28/2010
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