Cook, Lisa Marie
Cook, Lisa Marie is an individual health care provider with primary practice located at 2114 W Noble Ave , Guthrie OK 73044-2116. She 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 her primary health care specialty. Cook, Lisa Marie 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2032 | Oklahoma |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2032 | Oklahoma |
Profile Details
| NPI number | 1942203203 |
|---|---|
| LBN Legal business name | Cook, Lisa Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | May 11th, 2010 - about 14 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 | 1942203203 | NPPES |
| Oklahoma | MEDICAID | 100763900A | |
| Oklahoma | Other | 410034238 |
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