Individual
DR. JORDAN T COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 887-3241
(570) 887-3236
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003428
PA
152W00000X
Optometrist
PENDING
PA
152W00000X
Optometrist
TUV008846
NY
Other
Enumeration date
05/09/2018
Last updated
03/17/2021
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