Cooper, Blake A

Cooper, Blake A is an individual health care provider with primary practice located at 8600 Quivira Rd Ste 100 , Lenexa KS 66215-2857. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Cooper, Blake A can be contacted via phone (913) 831-7400.

Contact Information

Primary practice address
8600 Quivira Rd Ste 100 Lenexa KS 66215-2857
Phone: (913) 831-7400
Fax: (913) 831-7409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 2001014975 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2001014975 Missouri
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 0430052 Kansas
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 2001014975 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0430052 Kansas

Profile Details

NPI number 1275579567
LBN Legal business name Cooper, Blake A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 26th, 2022 - about 2 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 1275579567 NPPES
Missouri MEDICAID 205348923
Missouri Other P00303366
Missouri Other 102970
Missouri Other 32456016
Missouri Other P00024558

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