Doctor Name: | DR. BENJAMIN BRYAN COOK |
NPI Number: | 1053752907 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | ODP-100289 |
Business Practice Address: | 7631 Gall Blvd Zephyrhills, FL - 335414321 |
Business Phone Number: | 2083516196 |
Business Fax Number: | |
Mailing Address: | 7631 Gall Blvd, ZEPHYRHILLS |
State: | FL |
Postal Code: | 335414321 |
Phone Number: | 2083516196 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2013 |
NPI Last Update Date: | 10/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | ODP-100289 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |