Individual
RUSSELL YALE COOKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD DOCTOR OF OPTOMET
Contact information
Practice address
100 PLUMOSA STREET, EYEGLASS WORLD, MERRITT ISLAND, FL 32952
(321) 455-2950
(321) 455-9719
Mailing address
2401 CARRIAGE COURT, INDIALANTIC, FL 32903-2448
(321) 777-4400
(321) 777-4400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001729
FL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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