Individual
DR. ELIZABETH J COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4830 MAIN ST, SHALLOTTE, NC 28470-1912
(910) 754-2020
(910) 754-8811
Mailing address
PO BOX 867, SHALLOTTE, NC 28459-0867
(910) 754-2020
(910) 754-8811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1995
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093VE
BLUE CROSS BLUE SHIELD OF NC
NC
01
—
1326092727
RAILROAD MEDICARE
NC
05
—
89093VE
—
NC
Enumeration date
05/20/2006
Last updated
03/07/2023
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