Provider Demographics
NPI:1093076820
Name:COOKE, MARCUS (OD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:
Last Name:COOKE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:594 E MILLSAP RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4096
Mailing Address - Country:US
Mailing Address - Phone:479-442-2020
Mailing Address - Fax:479-521-3988
Practice Address - Street 1:1100 N COLLEGE AVE
Practice Address - Street 2:EYE CLINIC
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-1944
Practice Address - Country:US
Practice Address - Phone:479-443-4301
Practice Address - Fax:479-587-6105
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2723152W00000X
AR2680152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist