Individual
DR. LYMAN D COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1724 W KEARNEY ST, SUITE 116, SPRINGFIELD, MO 65803-1645
(417) 865-4448
(417) 862-8704
Mailing address
1724 W KEARNEY ST, SUITE 116, SPRINGFIELD, MO 65803-1645
(417) 865-4448
(417) 862-8704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02432
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157403
BLUE CROSS BLUE SHIELD
MO
01
—
4178654448
VISION SERVICE PLAN
MO
01
—
43141947565803A002
TRI WEST
MO
01
—
AF26850
SPECTERA
MO
01
—
MO2432
EYEMED VISION CARE
MO
Enumeration date
06/07/2006
Last updated
07/09/2007
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