Cooper, Scott Calvin

Cooper, Scott Calvin is an individual health care provider with primary practice located at 2043 College Way , Forest Grove OR 97116-1756. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Cooper, Scott Calvin can be contacted via phone (503) 352-2020.

Contact Information

Primary practice address
2043 College Way Forest Grove OR 97116-1756
Phone: (503) 352-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2183T Oregon
Eye and Vision Services Providers / Optometrist 152W00000X 2347 Minnesota
Eye and Vision Services Providers / Pediatrics 152WP0200X 2183T Oregon
Eye and Vision Services Providers / Vision Therapy 152WV0400X 2183T Oregon

Profile Details

NPI number 1952338071
LBN Legal business name Cooper, Scott Calvin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Oct 1st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952338071 NPPES
Oregon MEDICAID 121983

Popular Providers