Individual provider Active NPI

Bradford Ray Coers, O.D.

  • Optometrist
  • Columbus, IN
National Provider Identifier
1245298330
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002988B Issued in IN
Practice address
2520 California St
Columbus, IN 47201-3676
Phone
(812) 418-0080
Fax
(812) 418-0090
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002988B IN Primary

Addresses

Primary practice location

2520 California St
Columbus, IN 47201-3676

Mailing address

2520 California St
Columbus, IN 47201-3677
Phone (812) 418-0080

Other identifiers 1

IdentifierTypeStateIssuer
200234300BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909001202 IN Practitioner - Optometry 6204802259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2520 California St
Columus, IN 47201-3676

2525 California St
Suite G
Columbus, IN 47201-3678
Phone (812) 418-0080

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002988BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coers Family Eyecare PC Optometrist CurrentSince Feb 1, 2004 Accepting new patients

Locations

2520 California St
Ste G
Columbus, IN 47201
Phone (812) 374-4518

2525 California St
Ste G
Columbus, IN 47201
Phone (812) 418-0080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1245298330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 CALIFORNIA ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013677",
            "telephone_number": "812-418-0080",
            "fax_number": "812-418-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CALIFORNIA ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013676",
            "telephone_number": "812-418-0080",
            "fax_number": "812-418-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COERS",
        "first_name": "BRADFORD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002988B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200234300B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.