Individual provider Active NPI

David Lawrence Cooper, O.D.

  • Optometrist
  • Salina, KS
National Provider Identifier
1891790853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1296-2 Issued in KS
Practice address
1000 E Cloud St
Salina, KS 67401-6416
Phone
(785) 823-6391
Fax
(785) 823-7188
NPI assigned
Jun 16, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 1296-2 KS Primary

Addresses

Primary practice location

1000 E Cloud St
Salina, KS 67401-6416

Mailing address

1000 E Cloud St
Salina, KS 67401-6416
Phone (785) 823-6391

Other identifiers 4

IdentifierTypeStateIssuer
651101OtherKSBCBS
P00290908OtherKSRAILROAD MEDICARE
5684030001OtherKSCIGNA MEDICARE
640750OtherKSFIRSTGUARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050502000858 KS Practitioner - Optometry 7517906266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Cooper and Banninger LLCGroup PAC ID 9436166444, 4 clinicians

Practice addresses (Care Compare)

1000 E Cloud St
Salina, KS 67401-6416
Phone 7858236391228

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1296-2KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Cooper & Banninger, LLC. Optometrist CurrentSince Jul 1, 1990 Accepting new patients
DRS. Cooper & Banninger, LLC. Optometrist Past Accepting new patients

Locations

112 W Main St
Beloit, KS 67420
Phone (785) 569-0202

119 W 7th St
Concordia, KS 66901
Phone (785) 243-2175

1000 E Cloud St
Salina, KS 67401
Phone (785) 493-5389

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891790853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E CLOUD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016416",
            "telephone_number": "785-823-6391",
            "fax_number": "785-823-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E CLOUD ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016416",
            "telephone_number": "785-823-6391",
            "fax_number": "785-823-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1296-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "651101",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00290908",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE",
            "identifier": "5684030001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD",
            "identifier": "640750",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.