Individual
DR. JOHN MARK COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
234 S 3RD ST, GADSDEN, AL 35901-4242
(256) 547-0406
(256) 547-9663
Mailing address
234 S 3RD ST, GADSDEN, AL 35901-4242
(256) 547-0406
(256) 547-9663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-920-TA-487
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51096433
BCBS AL
AL
01
—
51512390
BCBS AL
AL
Enumeration date
07/12/2006
Last updated
07/09/2007
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