DR. BENJAMIN D COOPER (NPI# 1609924273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609924273 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN D COOPER |
| Other Name | MR. BEN D COOPER |
| Credential | O.D. |
| Practice Address |
223 Seneca Ln San Carlos AZ 85550 |
| Mailing Address |
Po Box 208 San Carlos AZ 85550-0208 |
| Practice Telephone | 9284757244 |
| Practice Fax Number | 9284757370 |
| Mailing Telephone | 9284757244 |
| Mailing Fax Number | 9284757370 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1795 | AZ | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2003002705 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 185037 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114276268 | Benjamin Cooper | Licensed Practical Nurse | 369 N Union St, Delaware, OH 43015-1255 | 2012-09-05 |
| 1487650867 | Benjamin Cooper | Surgery | 1941 Limestone Rd Ste 101, Wilmington, DE 19808-5413 | 2005-06-22 |
| 1750810560 | Benjamin Cooper | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2017-06-06 |
| 1043570138 | Benjamin Michael Cooper | Pharmacist | 1446 E Gaston St, Lincolnton, NC 28092-4400 | 2012-05-22 |
| 1518223049 | Benjamin Luke Cooper | Emergency Medicine | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2012-04-10 |
| 1235410655 | Benjamin James Cooper | Pharmacist | 612 4th St Nw, Faribault, MN 55021-5035 | 2011-08-30 |
| 1376834739 | Benjamin Cooper | Radiology | 160 E 34th St, New York, NY 10016-4744 | 2011-04-20 |
| 1568564300 | Benjamin Z. Cooper | Radiology | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2006-09-02 |
| Street Address |
223 SENECA LN |
| City | SAN CARLOS |
| State | AZ |
| Zip Code | 85550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821586686 | San Carlos Apache Tribe | Community/Behavioral Health | San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 | 2018-04-27 |
| 1568871762 | Aleksandra J Slaski | Counselor | Building 5 San Carlos Avenue, San Carlos, AZ 85550 | 2014-08-13 |
| 1619237377 | Justin Scott Phelps | Psychologist | 5 San Carlos Blvd., San Carlos, AZ 85550 | 2012-05-29 |
| 1669752622 | Sasha Melisa Latonis | Pharmacist | 208 Cibecue Cir, San Carlos, AZ 85550 | 2011-08-23 |
| 1699060343 | Paul Ray Delgado | Pharmacist | 208 Cibique Circle, San Carlos, AZ 85550 | 2011-06-10 |
| 1639481815 | Carlos Duarte | Family Medicine | 1 Vassar Dr Ne, Usphs Indian Hospital, San Carlos, AZ 85550 | 2010-07-05 |
| 1225355290 | Robert Reed Henley | Psychologist | 5 San Carlos Avenue, San Carlos, AZ 85550 | 2010-04-29 |
| 1912234576 | John Paul Hartman | Naturopath | 238 Seneca, San Carlos, AZ 85550 | 2009-11-03 |
| 1609015148 | Pamela Kay Kloote | Pharmacist | 208 Cibeque Circle, San Carlos, AZ 85550 | 2009-02-06 |
| 1689868317 | Jacqueline Ann Tutt | Licensed Practical Nurse | Skill Center Rd., San Carlos, AZ 85550 | 2007-09-06 |
| Find all providers in zip 85550 | ||||
| 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 |
|---|---|---|---|---|
| 1508803636 | Kristi Ann Jensen | Optometrist | 57 El Camino Real, San Carlos, CA 94070-2401 | 2006-05-31 |
| 1831170463 | Susan Ann Oh | Optometrist | 1234 Cherry St, San Carlos, CA 94070-3110 | 2005-11-10 |
| 1619960408 | Tracy A Phillips | Optometrist | 336 El Camino Real, San Carlos, CA 94070-2408 | 2005-08-26 |
| 1972097244 | Zhenzhen Ye | Optometrist | 57 El Camino Real, San Carlos, CA 94070-2401 | 2018-06-19 |
| 1699298224 | Siavash Assar | Optometrist | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2017-07-25 |
| 1952847352 | Carole L. Hong Od Inc. | Optometrist | 1234 Cherry St, San Carlos, CA 94070-3110 | 2017-01-10 |
| 1790033421 | All Eyes On You Optometry Inc | Optometrist | 336 El Camino Real, San Carlos, CA 94070-2408 | 2012-08-28 |
| 1982914420 | Serena M Cox | Optometrist | 1234 Cherry St, San Carlos, CA 94070-3110 | 2010-10-18 |
| 1104055631 | Nary Chum | Optometrist | 750 El Camino Real, San Carlos, CA 94070-3106 | 2009-07-06 |
| 1720176423 | Primrose Wong | Optometrist | 301 Industrial Rd, San Carlos, CA 94070-2603 | 2006-10-10 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 85550 |
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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.