Organization
COOK EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY NELSON COOK M.D. (OPHTHALMOLOGIST)
(601) 553-2100
Entity
Organization
Contact information
Practice address
2024 15TH ST, SUITE 5D, MERIDIAN, MS 39301-4130
(601) 553-2100
(601) 553-2104
Mailing address
2024 15TH ST, SUITE 5D, MERIDIAN, MS 39301-4130
(601) 553-2100
(601) 553-2104
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MS09097
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015019
—
MS
01
—
CI6387
RAILROAD MEDICARE
MS
Enumeration date
11/29/2005
Last updated
09/21/2009
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