Cook Family Eyecare Pllc | |
574 W 1600 N, Orem, UT 84057-2556 | |
(801) 210-9339 | |
(801) 960-2887 |
Full Name | Cook Family Eyecare Pllc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 574 W 1600 N, Orem, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063166114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jeffrey George Cook |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932541489 PECOS PAC ID: 4082848288 Enrollment ID: I20191231000295 |
Provider Name | Jett Scrimsher |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912524513 PECOS PAC ID: 9739599721 Enrollment ID: I20230207002885 |
Mailing Address | Practice Location Address |
---|---|
Cook Family Eyecare Pllc 4101 N 190 W, Provo, UT 84604-6218 Ph: (208) 360-3371 | Cook Family Eyecare Pllc 574 W 1600 N, Orem, UT 84057-2556 Ph: (801) 210-9339 |
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