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Dr. Blake A Cooper, MD
Ophthalmology Physician in Lenexa, Kansas
NPI 1275579567

Blake A Cooper is a Ophthalmology Physician based in Lenexa, KS. Blake A Cooper practices in Lenexa, KS and has the professional credentials of MD. The NPI Number for Blake A Cooper is 1275579567 and holds a License No. 2001014975 (Kansas).

The current practice location address for Blake A Cooper is 8600 Quivira Rd Ste 100, Lenexa, KS and can be reached out via phone at 913-831-7400 and via fax at 913-831-7409.

Location: 8600 Quivira Rd Ste 100, Lenexa, KS, 66215-2857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275579567
Provider Name
Blake A Cooper
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8600 Quivira Rd Ste 100, Lenexa, KS, 66215-2857
Phone Number
913-831-7400
Fax Number
913-831-7409
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205348923 05 MO
P00303366 01 KS RAILROAD MEDICARE
102970 01 KS BLUE CROSS BLUE SHIELD OF
32456016 01 MO BLUE CROSS BLUE SHIELD OF
P00024558 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
8600 Quivira Rd Ste 100
City
Lenexa
State
Kansas
Zip
66215-2857
Phone Number
913-831-7400
Fax Number
913-831-7409
person
Provider Business Mailing Address Details
Address
8600 Quivira Rd Ste 100
City
Lenexa
State
Kansas
Zip
66215-2857
Phone Number
913-831-7400
Fax Number
913-831-7409
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0430052 (Kansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
2001014975 (Missouri)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Retina Specialist
Taxonomy
207WX0107X
License No.
2001014975 (Missouri)
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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