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Organization

PHILLIP L. COOK, O.D., P.C.

Active
Other names
Specialty Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILLIP LANE COOK O.D. (PRESIDENT)
(918) 747-1578
Entity
Organization

Contact information

Practice address
4520 S HARVARD AVE, SUITE 150, TULSA, OK 74135-2925
(918) 747-1578
(918) 747-2503
Mailing address
4520 S HARVARD AVE, SUITE 150, TULSA, OK 74135-2925
(918) 747-1578
(918) 747-2503

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
814
OK
152WC0802X
Corneal and Contact Management Optometrist
814
OK
152WL0500X
Low Vision Rehabilitation Optometrist
814
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100790160A
OK
Enumeration date
08/22/2007
Last updated
04/29/2015
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