MEDICARE: EMORY JOHNSON COOPER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	94-12795	KS

General Provider Information

NPI Number	:	1760323539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMORY JOHNSON COOPER MD

Provider Business Mailing Address
First Line	:	7400 STATE LINE RD
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-3444
Country	:	US
Telephone Number	:	913-588-6600
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 STATE LINE RD
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-3444
Country	:	US
Telephone Number	:	913-588-6600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	06/03/2026

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Directions to “ EMORY JOHNSON COOPER MD” Practice Location

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