NPI 1033254289 · live from the CMS NPI Registry
Cookeville Eye Specialists, PLLC
Optometrist in Cookeville, TN. National Provider Identifier 1033254289, active.
NPI record
| NPI | 1033254289 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1125 Perimeter Park Dr Ste 200, Cookeville, TN 38501 |
| Practice phone | 931-528-1304 |
| Enumerated | February 21, 2007 |
| Last updated | March 30, 2020 |
| Authorized official | Misty Lynch, Billing |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | MD024999 (TN) |
| Optometrist primary | 152W00000X | T1567 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.