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Contact Information

KELLY J COCHRANE, OD
9825 SANDIFUR PKWY
SUITE B
PASCO, WA99301-6738
 Phone: 509-547-6998
 Fax: 509-547-6966
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KELLY J COCHRANE · (Male)

NPI # 1184693897
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/15/2006
Last updated 12/04/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 1629D
  • WA License # 1536TX
  • WA Medicaid 2009488
  • Other 554048 AETNA
  • Other 032340000 CIGNA
  • Other 8886644808 COMM HEALTH PLAN OF WA
  • Other 610605300 DEPT OF LABOR SEATTLE DFE
  • Other 25764890 GROUP HEALTH
  • Other 0323400001 MC SUPPY CIGNA DMERC REGD
  • Other 022886003 REGENCE OREGON
  • Other CO6992 REGENCE WASHINGTON
  • Other 410016584 TRAVELERS MEDICARE RETIRE
  • Other 410016585 UPPR
  • WA Other 0226424 DEPT LABOR AND INDUSTRIES
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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