Individual
DR. ROBERT E COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3330 NW 56TH ST, SUITE 103, OKLAHOMA CITY, OK 73112
(405) 946-4398
(405) 948-3156
Mailing address
3330 NW 56TH ST, SUITE 103, OKLAHOMA CITY, OK 73112
(405) 946-4398
(405) 948-3156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OKLA 975 CALIF
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100767980-A
—
OK
01
—
731249818
TAX ID
OK
Enumeration date
08/25/2006
Last updated
02/08/2016
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