Kelly M Cooper
Kelly M Cooper is an Optometry in Saint Michaels, Maryland. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 6
- Licensed in
- MD
- In the registry since
- 2020
Practice location Address checks out
1013 S Talbot StSaint Michaels, MD 21663-2637
Phone: (954) 298-9913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence TA2775 (MD) |
|---|
Record details
| NPI number | 1124628300 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 28, 2020 |
| Last updated in NPPES | June 5, 2023 |
| Certification date | June 5, 2023 |
| Mailing address | 510 Tenant Cir, Saint Michaels, MD 21663-2873 |
Medicare enrollment
| Medicare specialty | OPTOMETRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Saint Michaels
-
Route 33 Eye Care & Optical Boutique LLC
1013 S Talbot St, Saint Michaels, MD 21663-2637 · (954) 298-9913