Organization
COOPER VISION CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARK COOPER O.D. (OWNER)
(256) 413-7878
Entity
Organization
Contact information
Practice address
2414 RAINBOW DR, GADSDEN, AL 35901-5620
(256) 413-7878
(256) 413-7874
Mailing address
2414 RAINBOW DR, GADSDEN, AL 35901-5620
(256) 413-7878
(256) 413-7874
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-920-TA-487
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51096433
BCBS
AL
Enumeration date
12/06/2007
Last updated
02/28/2008
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