Cook, Douglas Todd

Cook, Douglas Todd is an individual health care provider with primary practice located at 2114 W Noble Ave , Guthrie OK 73044-2116. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Cook, Douglas Todd can be contacted via phone (405) 260-2020.

Contact Information

Primary practice address
2114 W Noble Ave Guthrie OK 73044-2116
Phone: (405) 260-2020
Fax: (405) 282-8886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1193 Oklahoma
Eye and Vision Services Providers / Vision Therapy 152WV0400X 1193 Oklahoma

Profile Details

NPI number 1417950775
LBN Legal business name Cook, Douglas Todd
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated May 11th, 2010 - about 15 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 1417950775 NPPES
Oklahoma MEDICAID 100760100A
Oklahoma Other 410034239

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