Cocke, Dana Anthony
Cocke, Dana Anthony is an individual health care provider with primary practice located at 5003 Tacoma Mall Blvd Ste 102 , Tacoma WA 98409-7120. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Cocke, Dana Anthony can be contacted via phone (253) 472-5813.Contact Information
Primary practice address
5003 Tacoma Mall Blvd Ste 102
Tacoma WA 98409-7120
Phone: (253) 472-5813
Fax: (253) 472-0640
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3140 | Washington |
Profile Details
NPI number | 1194745729 |
---|---|
LBN Legal business name | Cocke, Dana Anthony |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2006 |
Last updated | Jan 24th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194745729 | NPPES |
Washington | MEDICAID | 2019289 |
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