Individual
DR. DONALD BRUCE COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD OPTOMETRY DOCTOR
Contact information
Practice address
1943 DREW STREET, CLEARWATER, FL 33765
(727) 446-8186
(727) 446-8186
Mailing address
1943 DREW STREET, CLEARWATER, FL 33765
(813) 446-8186
(813) 446-8186
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295801983
NPI
FL
05
—
620631000
—
FL
01
—
650106692
TAX ID
—
01
—
853
FLORIDA LICENSE
—
01
—
P00045759
MEDICARE RAILROAD
GA
01
—
P00045759
RR MEDICARE
—
Enumeration date
11/27/2006
Last updated
05/02/2008
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