Organization
DR. WESLEY D. COOPER, OPTOMETRIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY D COOPER D.O., P.C. (AUTHORIZED OFFICIAL)
(970) 249-3914
Entity
Organization
Contact information
Practice address
400 S NEVADA AVE, MONTROSE, CO 81401-5738
(970) 249-3914
(970) 249-7893
Mailing address
400 S NEVADA AVE, MONTROSE, CO 81401-5738
(970) 249-3914
(970) 249-7893
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
716
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0385143
—
CO
05
—
08765232
—
CO
Enumeration date
02/21/2008
Last updated
05/13/2008
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