Provider Demographics
NPI:1982998027
Name:COOK'S FAMILY EYECARE, LLC
Entity Type:Organization
Organization Name:COOK'S FAMILY EYECARE, LLC
Other - Org Name:TERENCE COOK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-995-6313
Mailing Address - Street 1:5021 U.S. HIGHWAY 280
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242
Mailing Address - Country:US
Mailing Address - Phone:205-995-6313
Mailing Address - Fax:205-995-6314
Practice Address - Street 1:5021 U.S. HIGHWAY 280
Practice Address - Street 2:SUITE 101
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35242
Practice Address - Country:US
Practice Address - Phone:205-995-6313
Practice Address - Fax:205-995-6314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-A62-TA-644152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty