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Organization

DR TED S COOPER OPTOMETRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEODORE S. COOPER O.D. (CHIEF MANAGER)
(901) 850-7900
Entity
Organization

Contact information

Practice address
2028 W POPLAR AVE, SUITE 102, COLLIERVILLE, TN 38017-0618
(901) 850-7900
(901) 850-7997
Mailing address
2028 W POPLAR AVE, SUITE 102, COLLIERVILLE, TN 38017-0618
(901) 850-7900
(901) 850-7997

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T2319
TN

Other

Enumeration date
06/19/2006
Last updated
01/02/2008
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