Organization
CERTIFIED CC OPTICIANS
Active
Other names
Public Wholesale Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LYNN COOK (OPTICIAN OWNER)
(432) 367-9401
Entity
Organization
Contact information
Practice address
1173 E 42ND STREET, ODESSA, TX 79762
(432) 367-9401
(432) 362-2327
Mailing address
1173 E 42ND STREET, ODESSA, TX 79762
(432) 367-9401
(432) 362-2327
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
ABO3472
TX
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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