David R Cordry, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02686 Issued in MO

Practice address

2300 Bernadette Dr
Ste 804 Columbia Mall
Columbia, MO 65203-4607

Phone

(573) 445-1766

Fax

(573) 446-6469

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1699833822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BERNADETTE DR",
            "address_2": "STE 804 COLUMBIA MALL",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034607",
            "telephone_number": "573-445-1766",
            "fax_number": "573-446-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BERNADETTE DR",
            "address_2": "STE 804 COLUMBIA MALL",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034607",
            "telephone_number": "573-445-1766",
            "fax_number": "573-446-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDRY",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Copeland, DNP
• Walter Buford Coplen, M.A.,L.P.C.,N.C.C.
• Coplen, Wright & Associates, Inc.
• Aaron Corbin, MD
• Taylor D Cordonnier, MD
• Bethany L Corey, PA
• Jason Anthony Corey, CRNA
• Matthew Philip Cormier, DO
• Stephen Cornelison, PTA
• Dan E. Cornell, R.PH.

• Optometrist in Columbia, MO
• Providers in Columbia, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.