Organization
COOKE VISION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KENNETH COOKE OD (OPTOMETRIST)
(254) 338-4305
Entity
Organization
Contact information
Practice address
4104 E STAN SCHLUETER LOOP STE 6, KILLEEN, TX 76542-7873
(254) 690-8999
(866) 752-0649
Mailing address
4104 E STAN SCHLUETER LOOP STE 6, KILLEEN, TX 76542-7873
(254) 690-8999
(866) 752-0649
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5561T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191389-01
—
TX
01
—
1972510329
INDIVIDUAL NPI
TX
Enumeration date
12/27/2013
Last updated
12/27/2013
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