Cooper, Michelle M

Cooper, Michelle M is an individual health care provider with primary practice located at 24 Potomac Ave , Greenville SC 29605-2118. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cooper, Michelle M can be contacted via phone (864) 277-4420.

Contact Information

Primary practice address
24 Potomac Ave Greenville SC 29605-2118
Phone: (864) 277-4420
Fax: (864) 277-9946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1038 South Carolina

Profile Details

NPI number 1265491260
LBN Legal business name Cooper, Michelle M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Oct 7th, 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 1265491260 NPPES
South Carolina MEDICAID D10389

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