Provider Demographics
NPI:1508079500
Name:COCHRANE EYEWEAR
Entity Type:Organization
Organization Name:COCHRANE EYEWEAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:F
Authorized Official - Last Name:COCHRANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-533-4500
Mailing Address - Street 1:2981 OLIVE HWY
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-6109
Mailing Address - Country:US
Mailing Address - Phone:530-533-4595
Mailing Address - Fax:530-533-5643
Practice Address - Street 1:2981 OLIVE HWY
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6109
Practice Address - Country:US
Practice Address - Phone:530-533-4595
Practice Address - Fax:530-533-5643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier