Cooper, Jeffrey

Cooper, Jeffrey is an sole proprietor health care provider with primary practice located at 1448 86Th St , Brooklyn NY 11228-3429. 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. Cooper, Jeffrey can be contacted via phone (718) 236-4186.

Contact Information

Primary practice address
1448 86Th St Brooklyn NY 11228-3429
Fax: (718) 837-0341
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X VUT003001 New York

Profile Details

NPI number 1295800050
LBN Legal business name Cooper, Jeffrey
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Nov 5th, 2015 - about 9 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 1295800050 NPPES
New York MEDICAID 01557675

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