NPI 1710242490 · live from the CMS NPI Registry
Matthew David Cooke, M.D.
Ophthalmology in Eau Claire, WI. National Provider Identifier 1710242490, active.
NPI record
| NPI | 1710242490 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 733 W Clairemont Ave, Eau Claire, WI 54701 |
| Practice phone | 715-838-5222 |
| Mailing address | Po Box 1510, Eau Claire, WI 54702 |
| Enumerated | July 9, 2012 |
| Last updated | September 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 32020 (OK) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Ophthalmology primary | 207W00000X | 61822 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.