Dr Rita Debbie Cook, OD | |
14667 Sw Teal Blvd, Beaverton, OR 97007-6194 | |
(503) 579-2020 | |
(503) 579-0404 |
Full Name | Dr Rita Debbie Cook |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 20 Years |
Location | 14667 Sw Teal Blvd, Beaverton, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326035544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2976AT (Oregon) | Primary |
152WC0802X | Optometrist - Corneal And Contact Management | 2976AT (Oregon) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pacific University | 0345144705 | 20 |
D Gregory Luce Od Pc | 3678562071 | 4 |
Provider Name | Pacific University |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306954011 PECOS PAC ID: 0345144705 Enrollment ID: O20031126000350 |
Provider Name | D Gregory Luce Od Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174610331 PECOS PAC ID: 3678562071 Enrollment ID: O20040511000324 |
Mailing Address | Practice Location Address |
---|---|
Dr Rita Debbie Cook, OD 14667 Sw Teal Blvd, Beaverton, OR 97007-6194 Ph: (503) 579-2020 | Dr Rita Debbie Cook, OD 14667 Sw Teal Blvd, Beaverton, OR 97007-6194 Ph: (503) 579-2020 |
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