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
Fax: (253) 472-0640
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194745729 NPPES
Washington MEDICAID 2019289

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