Dr Ted S Cooper Optometry LLC

NPI #1629013040 in Collierville, Tennessee

Provider Information

NPI Number: 1629013040
Entity Type: Organization
Organization Name: Dr Ted S Cooper Optometry LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 19, 2006
Last Updated: Jan 2, 2008

Practice Location

Address: 2028 W POPLAR AVE
Address 2: SUITE 102
City: Collierville
State: Tennessee
ZIP Code: 38017-0618
Phone: (901) 850-7900

Authorized Official

Name: DR. THEODORE S. COOPER, O.D.
Title: CHIEF MANAGER
Phone: (901) 850-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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