KELLY M COOPER (NPI# 1124628300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124628300 |
| Entity Type | Individual |
| Full Name | KELLY M COOPER |
| Practice Address |
210 Marlboro Ave Ste 31 Easton MD 21601-2767 |
| Practice Telephone | 4108223937 |
| Practice Fax Number | 4108222652 |
| Mailing Telephone | 4108223937 |
| Mailing Fax Number | 4108222652 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA2775 | MD | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Race St, Cambridge, MD 216131835 | 4102280500 | 4108222652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396133641 | Kelly Cooper | Physical Therapy Assistant | 3200 North Elm Street, Greensboro, NC 27408 | 2015-01-08 |
| 1881992741 | Kelly Frances Cooper | Massage Therapist | 3324 W University Ave # 344, Gainesville, FL 32607-2540 | 2011-03-02 |
| 1265763098 | Kelly Marie Cooper | Massage Therapist | 25 Quail Hollow Rd, Fairview, NC 28730-8505 | 2010-01-19 |
| 1255979787 | Kelly Cooper | Speech-Language Pathologist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-12-16 |
| 1851945943 | Kelly Cooper | Counselor | 506 Grover St Ste 112, Lynden, WA 98264-1960 | 2019-07-28 |
| 1871063792 | Kelly Cooper | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2018-12-04 |
| 1114411915 | Kelly Anne Cooper | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2018-06-15 |
| 1316468820 | Kelly Ann Cooper | Nurse Practitioner | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2017-07-06 |
| 1386191252 | Kelly Cooper | Dentist | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2016-09-07 |
| 1174945141 | Kelly A Cooper | Case Manager/Care Coordinator | 200 E Frazier Ave, Columbia, KY 42728-1915 | 2014-01-10 |
| Street Address |
210 MARLBORO AVE STE 31 |
| City | EASTON |
| State | MD |
| Zip Code | 21601-2767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053562397 | Easton Optical, LLC | Eyewear Supplier (Equipment, not the service) | 210 Marlboro Ave Ste 31, Easton, MD 21601-2767 | 2008-10-06 |
| 1609306141 | Kyle Nicholas Kravetz | Optometrist | 210 Marlboro Ave Ste 31, Easton, MD 21601-2767 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861800 | Shevanie Latchmi Jallim | Optometrist | 3714 Nazareth Rd # 4, Easton, PA 18045-8357 | 2020-11-03 |
| 1306484589 | Alpha Optical Bethlehem, LLC | Optometrist | 4753 Freemansburg Ave, Easton, PA 18045-5529 | 2019-12-18 |
| 1295265734 | Samantha Haslbeck Kravetz | Optometrist | 28522a Marlboro Ave, Easton, MD 21601-2792 | 2017-06-18 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1548546195 | Professional Eye Associates | Optometrist | 3770 Dryland Way, Suite D600, Easton, PA 18045-8353 | 2011-10-27 |
| 1669641866 | Svetlana Miller | Optometrist | 752 S 25th St, Easton, PA 18042-5337 | 2008-02-21 |
| 1316141864 | Marshalls Creek Vision Center | Optometrist | 145 Palmer Park Mall, Pearle Vision, Easton, PA 18045-2759 | 2007-06-11 |
| 1518003789 | Gary Jon Kokosky | Optometrist | 147 Palmer Park Mall, Easton, PA 18045-2759 | 2007-01-29 |
| 1437236775 | Charles Mcdonald | Optometrist | 220 Marlboro Ave, Tred Avon Square, Easton, MD 21601-2729 | 2006-11-01 |
| 1962510628 | Accurate Optical Co of Easton Inc | Optometrist | 220 Marlboro Rd, Tred Avon Square, Easton, MD 21601 | 2006-08-25 |
| Find all providers in EASTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.