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Contact Information

PHILLIP L. COOK, O.D., P.C.
4520 S HARVARD AVE
SUITE 150
TULSA, OK74135-2925
 Phone: 918-747-1578
 Fax: 918-747-2503
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for PHILLIP L. COOK, O.D., P.C.

NPI Number 1942493051
LBN Legal business name PHILLIP L. COOK, O.D., P.C.
Authorized official PHILLIP COOK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2007
Last updated 04/29/2015 - About 11 years ago
Identifiers
OK License # 814
OK Medicaid 100790160A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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