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
Phone: (718) 236-4186
Fax: (718) 837-0341
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1295800050 | NPPES |
| New York | MEDICAID | 01557675 |
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