Cooper, Jeffrey Brian

Cooper, Jeffrey Brian is an individual health care provider with primary practice located at 3241 Churn Creek Rd , Redding CA 96002-2516. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cooper, Jeffrey Brian can be contacted via phone (530) 222-2020.

Contact Information

Primary practice address
3241 Churn Creek Rd Redding CA 96002-2516
Phone: (530) 222-2020
Fax: (530) 222-2078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 07437 California

Profile Details

NPI number 1548245467
LBN Legal business name Cooper, Jeffrey Brian
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Oct 14th, 2013 - about 13 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 1548245467 NPPES
California MEDICAID SD0074370

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