Individual provider Active NPI

Darcy Minton Coomer, OD

  • Optometrist
  • Bowling Green, KY
National Provider Identifier
1598779019
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1555DT Issued in KY
Practice address
1256 Campbell LN
Suite 106
Bowling Green, KY 42104-1082
Phone
(270) 796-6021
Fax
(888) 834-1659
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1555DT KY Primary

Addresses

Primary practice location

1256 Campbell LN
Suite 106
Bowling Green, KY 42104-1082

Mailing address

1945 Scottsville Rd
Ste B2 PMB 239
Bowling Green, KY 42104-3376
Phone (270) 796-6021

Other identifiers 4

IdentifierTypeStateIssuer
0067860OtherKYCIGNA
0007243418OtherKYAETNA
000000261068OtherKYBLUE CROSS BLUE SHIELD
77001113MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080313000134 KY Practitioner - Optometry 3971688029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Peak Eye Care PLLCGroup PAC ID 1759805047, 2 clinicians

Practice addresses (Care Compare)

1407 N Race St
Glasgow, KY 42141-3490
Phone (270) 651-6652

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care of Southern Kentucky, PSC CurrentSince Oct 1, 2024 Accepting new patients
Sage Peak Eye Care PLLC Optometrist CurrentSince Mar 30, 2025 Accepting new patients
Darla Sherrod Barrow Optometrist Past Accepting new patients
Love and Warden Eye Care, PLLC Optometrist Past Accepting new patients
Barrow Eye Center Optometrist Past Accepting new patients

Locations

1407 N Race St
Glasgow, KY 42141
Phone (270) 651-6652

Organizations & group practices 5

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1598779019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 SCOTTSVILLE RD",
            "address_2": "STE B2 PMB 239",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043376",
            "telephone_number": "270-796-6021",
            "fax_number": "888-834-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 CAMPBELL LN",
            "address_2": "SUITE 106",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421041082",
            "telephone_number": "270-796-6021",
            "fax_number": "888-834-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMER",
        "first_name": "DARCY",
        "middle_name": "MINTON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1555DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0067860",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007243418",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000261068",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001113",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.