Provider Demographics
NPI:1285021972
Name:CHRISTOPHER COKER, OD PLLC
Entity Type:Organization
Organization Name:CHRISTOPHER COKER, OD PLLC
Other - Org Name:EYECARE ABOUT VEGAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:702-731-2233
Mailing Address - Street 1:2055 E WINDMILL LN
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2066
Mailing Address - Country:US
Mailing Address - Phone:702-731-2233
Mailing Address - Fax:702-450-6116
Practice Address - Street 1:2055 E WINDMILL LN
Practice Address - Street 2:SUITE 105
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2066
Practice Address - Country:US
Practice Address - Phone:702-731-2233
Practice Address - Fax:702-450-6116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV641152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVGE399ZMedicare UPIN