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DR. JACK MEDFORD COOPER MD NPI 1730274457


NPI Information

NPI: 1730274457
Provider Name: DR. JACK MEDFORD COOPER, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
634 UPTOWN BLVD
CEDAR HILL, TX
ZIP 75104
Phone: (972) 637-1300
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DR. Jack Medford Cooper, MD is an ophthalmology in Cedar Hill, TX. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Jack Medford Cooper, MD NPI is 1730274457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

634 UPTOWN BLVD
CEDAR HILL, TX
ZIP 75104-529
Phone: (972) 637-1300
Fax: (866) 353-7586

The enumeration date for this NPI number is 10/4/2006 and was last updated on 12/29/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyF2614TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1751622524OTHERUNITED HEALTHCARE
20612336OTHERAETNA HMO
30612336OTHERAETNA POS
4112288904MEDICAIDTEXAS
58F9506MEDICARE PINTEXAS
68F9502MEDICARE PINTEXAS
70016DQOTHERTEXASBCBS GROUP
84237247OTHERAETNA PPO
9112288905MEDICAIDTEXAS
1086770XOTHERTEXASBCBS PROVIDER ID
11180011221OTHERTEXASMEDICARE RR DALLAS COUNTY
12180032049OTHERTEXASMEDICARE RR ELLIS COUNTY
130350890002MEDICARE NSCTEXAS
142314758OTHERTEXASBCBS BLUE LINK
15C14758MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.