Dr Ted S Cooper Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

T2319 Issued in TN

Legal business name

DR TED S COOPER OPTOMETRY LLC

Practice address

2028 W Poplar Ave
Suite 102
Collierville, TN 38017-0618

Phone

(901) 850-7900

Fax

(901) 850-7997

NPI assigned

Jun 19, 2006

Last updated

Jan 2, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theodore S. Cooper, O.D.

Title

Chief Manager

Phone

(901) 850-7900

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1629013040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 W POPLAR AVE",
            "address_2": "SUITE 102",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170618",
            "telephone_number": "901-850-7900",
            "fax_number": "901-850-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 W POPLAR AVE",
            "address_2": "SUITE 102",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170618",
            "telephone_number": "901-850-7900",
            "fax_number": "901-850-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TED S COOPER OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "901-850-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T2319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Dlabach, M.D.
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• Dr Mark Lynn & Associates PLLC (Visionworks Doctors of Optometry)
• Dr Mark Wallace PLLC
• Alexandra K Drake, PMHNP
• Harmony Draper
• Ritika Dubey
• Michael Wesley Duckworth, PT
• William David Dunavant III, MD

• Optometrist in Collierville, TN
• Providers in Collierville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.