Wellformed AI

NPI 1205939642 · live from the CMS NPI Registry

Morley Phillips Cooper, O.D.

Optometrist in Albuquerque, NM. National Provider Identifier 1205939642, active.

NPI record

NPI1205939642 Type 1 · individual
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location806 Dr. Mlk Jr. Avenue, Ne, Albuquerque, NM 87102
Practice phone505-842-6575
Mailing address8801 Horizon Blvd Ne, Suite 360, Albuquerque, NM 87113
EnumeratedSeptember 7, 2006
Last updatedJuly 24, 2008
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000X524 (NM)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.