Blake A Cooper in Lenexa - Retina Specialist

Blake A Cooper - NPI 1275579567

Blake A Cooper is a Retina Specialist in Lenexa, Kansas. Blake A Cooper practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Blake A Cooper is 1275579567. The last update date is 2022-08-26.

Blake A Cooper's current location address is 8600 Quivira Rd Ste 100, Lenexa, Kansas. You can contact this provider via phone number 9138317400 and fax number 9138317409. The mailing address for Blake A Cooper is 8600 Quivira Rd Ste 100, Lenexa, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Blake A Cooper
Address 8600 Quivira Rd Ste 100, Lenexa, Kansas
Phone Number 9138317400
Fax Number 9138317409
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1275579567
Provider Enumeration Date 2006-06-22
Last Updated Date 2022-08-26

Provider Mailing Address Detail

Address 8600 Quivira Rd Ste 100
City Lenexa
State Kansas (KS)
Post Code 662152857
Phone Number 9138317400
Fax Number 9138317409

Provider's Primary Taxonomy Detail

Speciality Retina Specialist
Taxonomy 207Wx0107X
Licence No 430052
Definition:
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
205348923 MO --
P00303366 KS RAILROAD MEDICARE
102970 KS BLUE CROSS BLUE SHIELD OF
32456016 MO BLUE CROSS BLUE SHIELD OF
P00024558 MO RAILROAD MEDICARE

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FAQs about Blake A Cooper

What is the unique identification code assigned to Blake A Cooper by the Centers for Medicare & Medicaid Services?

The Blake A Cooper has been issued the NPI (National Provider Identifier) 1275579567. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Blake A Cooper is located?

The Blake A Cooper is situated at the following address: 8600 Quivira Rd Ste 100, Lenexa, KS, 662152857.

What is Blake A Cooper's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Blake A Cooper's specialized field of practice is Retina Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 207Wx0107X.

On what date did Blake A Cooper receive its 1275579567 assignment from the Centers for Medicare & Medicaid Services?

The Blake A Cooper was assigned its 1275579567 on 2006-06-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Blake A Cooper most recently updated or revised?

The information pertaining to Blake A Cooper, including its address, specialty, and other relevant details, was last updated or revised on 2022-08-26.

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