NPI 1194714733 · live from the CMS NPI Registry
Jonathan F Cook, OD
Optometrist in Gray, ME. National Provider Identifier 1194714733, active.
NPI record
| NPI | 1194714733 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 6 Turnpike Acres Road, Gray, ME 04039 |
| Practice phone | 207-657-4488 |
| Mailing address | Po Box 1088, Gray, ME 04039 |
| Enumerated | October 17, 2005 |
| Last updated | May 26, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT855 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.