Cooper & Elder Optical Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

433 Issued in VA

Legal business name

COOPER & ELDER OPTICAL INC.

Practice address

2124 Langhorne Rd
Lynchburg, VA 24501-1424

Phone

(434) 845-6120

Fax

(434) 845-6120

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Curtis Elder, OPTICIANNPI 1629121983

Title

Owner

Phone

(434) 845-6120

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Curtis Elder, OPTICIAN PRESIDENT O

  • Optician
  • Lynchburg, VA
  • NPI 1629121983
  NPD (past) Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1396946257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011424",
            "telephone_number": "434-845-6120",
            "fax_number": "434-845-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011424",
            "telephone_number": "434-845-6120",
            "fax_number": "434-845-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER & ELDER OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-845-6120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "433",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1647",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER JERRY ELDER",
            "identifier": "1629121983",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin T Cook, LPC
• Michael Cook, MD
• Robert Dawson Cook, M.D.
• William A Cook III, M.D.
• Hailli Marie Cooke, RKT,MPH,ATS
• Anne H Cooper, LPC
• Brittany White Cooper
• Ethan R Cooper, LPC
• Theresa Mary Cooper, CFA, CSA
• John George Coots, ED.D, LAT, ATC

• Optician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Optician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.