Cook, Jeffrey Alan
Cook, Jeffrey Alan is an individual health care provider with primary practice located at 900 Pine St , Sidney NE 69162-2241. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Cook, Jeffrey Alan can be contacted via phone (308) 254-4041.Contact Information
Primary practice address
900 Pine St
Sidney NE 69162-2241
Phone: (308) 254-4041
Fax: (308) 254-3718
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 892 | Nebraska |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 892 | Nebraska |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 892 | Nebraska |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 892 | Nebraska |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 892 | Nebraska |
Eye and Vision Services Providers / Optometrist | 152W00000X | 892 | Nebraska |
Profile Details
NPI number | 1366436701 |
---|---|
LBN Legal business name | Cook, Jeffrey Alan |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2005 |
Last updated | Feb 19th, 2020 - about 4 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 | 1366436701 | NPPES |
Nebraska | Other | 245327 | MIDLANDS CHOICE PROVIDER |
Nebraska | Other | 37094 | MIDLANDS CHOICE PROVIDER |
Nebraska | MEDICAID | 10025341000 | MIDLANDS CHOICE PROVIDER |
Nebraska | Other | 410025992 | MIDLANDS CHOICE PROVIDER |
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