Provider Demographics
NPI:1881712651
Name:COOKE, ROBERT F
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:F
Last Name:COOKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 BISHOP ST STE 110
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3202
Mailing Address - Country:US
Mailing Address - Phone:808-523-6484
Mailing Address - Fax:808-523-6485
Practice Address - Street 1:737 BISHOP ST STE 110
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3202
Practice Address - Country:US
Practice Address - Phone:808-523-6484
Practice Address - Fax:808-523-6485
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0074156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician