| Cook Family Eyecare Pllc | |
|
574 W 1600 N, Orem, UT 84057-2556 | |
| (801) 210-9339 | |
| (801) 960-2887 |
| Full Name | Cook Family Eyecare Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 574 W 1600 N, Orem, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063166114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jeffrey George Cook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932541489 PECOS PAC ID: 4082848288 Enrollment ID: I20191231000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Cook Family Eyecare Pllc 4101 N 190 W, Provo, UT 84604-6218 Ph: (208) 360-3371 | Cook Family Eyecare Pllc 574 W 1600 N, Orem, UT 84057-2556 Ph: (801) 210-9339 |
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