Organization
COOK EYE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W COOK MD (PRESIDENT OWNER)
(304) 522-1802
Entity
Organization
Contact information
Practice address
1300 THIRD AVENUE, HUNTINGTON, WV 25701
(304) 522-1802
(304) 529-6752
Mailing address
1300 THIRD AVENUE, HUNTINGTON, WV 25701
(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
05
—
0096943000
—
WV
01
—
4319220
AETNA
WV
Enumeration date
04/18/2007
Last updated
11/02/2007
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