George Leonard Cooper, MD | |
2139 Valleygate Dr, Ste 101a, Fayetteville, NC 28304-3666 | |
(910) 323-2002 | |
(910) 323-3477 |
Full Name | George Leonard Cooper |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 2139 Valleygate Dr, Fayetteville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851395602 | NPI | - | NPPES |
0838866 | Other | NC | UHC PROVIDER NUMBER |
1083N | Other | NC | BC/BS PROVIDER NUMBER |
891083N | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 9600893 (North Carolina) | Primary |
207W00000X | Ophthalmology | 1925301 (New York) | Secondary |
207W00000X | Ophthalmology | 31520 (Kentucky) | Secondary |
Entity Name | Valley Eye Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720380314 PECOS PAC ID: 1759560519 Enrollment ID: O20110125001165 |
Mailing Address | Practice Location Address |
---|---|
George Leonard Cooper, MD 2139 Valleygate Dr, Ste 101a, Fayetteville, NC 28304-3666 Ph: (910) 323-2002 | George Leonard Cooper, MD 2139 Valleygate Dr, Ste 101a, Fayetteville, NC 28304-3666 Ph: (910) 323-2002 |
Alexandra G Castillejos Ellenthal, Ophthalmology Medicare: Medicare Enrolled Practice Location: 1726 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-484-2284 | |
Dr. Robert Bruce Carroll, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2817 Reilly Rd, Ophthalmology Service, Womack Army Med Ctr, Fayetteville, NC 28310 Phone: 910-907-6001 Fax: 910-907-8614 | |
Gerry Stetson Hayes, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-822-7061 | |
Dr. Jimmie Wayne Riggins, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1726 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-484-2284 Fax: 910-484-1673 | |
Nitin Nigam, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1726 Metromedical Dr, Fayetteville, NC 28304 Phone: 910-484-2284 Fax: 906-932-0644 | |
Frank Ward Browning, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 810 Elm St, Fayetteville, NC 28303 Phone: 910-321-0356 Fax: 910-321-0359 | |
Brandon Nickolas Phillips, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1212 Walter Reed Rd, Fayetteville, NC 28304 Phone: 910-930-0704 |