Provider Demographics
NPI:1508861584
Name:DRS. COOPER & BANNINGER, LLC.
Entity Type:Organization
Organization Name:DRS. COOPER & BANNINGER, LLC.
Other - Org Name:DRS COLE, COOPER, AND BANNINGER
Other - Org Type:Other Name
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:785-823-6391
Mailing Address - Street 1:1000 E CLOUD ST
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-6416
Mailing Address - Country:US
Mailing Address - Phone:785-823-6391
Mailing Address - Fax:785-823-7188
Practice Address - Street 1:1000 E CLOUD ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-6416
Practice Address - Country:US
Practice Address - Phone:785-823-6391
Practice Address - Fax:785-823-7188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1296-2152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS065130OtherBCBS
KS065130OtherBCBS
KS065130OtherBCBS
KS=========OtherFIRSTGUARD