Michael J Cooper, OD
Optometrist in Escondido, CA. Individual provider (NPI-1).
NPI number1164586244
StatusActive
Last updated in NPPESJun 26, 2013
Details
- NPI
- 1164586244
- Entity type
- Individual (NPI-1)
- Name
- Michael J Cooper
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 21, 2006
- Last updated
- Jun 26, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 10476T | CA | Yes |
Practice location
251 E 4th AveEscondido, CA 92025-4901
Phone 760-745-5412 · Fax 760-745-2752
Mailing address
251 E 4th AveEscondido, CA 92025-4901
Phone 760-745-5412 · Fax 760-745-2752
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All 42 Optometrist providers in Escondido · All 4,391 providers in Escondido
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