Organization
COOK EYE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WELLINGTON COOK MD (PRESIDENT OWNER)
(304) 522-1802
Entity
Organization
Contact information
Practice address
1300 3RD AVE, HUNTINGTON, WV 25701-1601
(304) 522-1802
(304) 529-6752
Mailing address
1300 3RD AVE, HUNTINGTON, WV 25701-1601
(304) 522-1802
(304) 529-6752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13810
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000324369
MOUNTAIN STATE BC BS
—
05
—
0017472000
—
WV
01
—
4319220
AETNA
—
Enumeration date
05/02/2007
Last updated
05/07/2013
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