| |
9529 W State Road 56, French Lick, IN 47432-9708 | |
(812) 936-5222 | |
(812) 936-5225 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 9529 W State Road 56, French Lick, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780099580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18003699B (Indiana) | Primary |
Provider Name | Aaron K Cooke |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992086516 PECOS PAC ID: 7810161734 Enrollment ID: I20111110000543 |
Mailing Address | Practice Location Address |
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9529 W State Road 56, French Lick, IN 47432-9708 Ph: (812) 936-5222 | 9529 W State Road 56, French Lick, IN 47432-9708 Ph: (812) 936-5222 |
Aaron Kyle Cooke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9529 W State Road 56, French Lick, IN 47432 Phone: 812-936-5222 Fax: 812-936-5225 |