Organization
DRS. COOPER & BANNINGER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LAWRENCE COOPER O.D. (OWNER/OPTOMETRIST)
(785) 823-6391
Entity
Organization
Contact information
Practice address
112 W MAIN ST, BELOIT, KS 67420-2745
(785) 738-4200
(785) 738-4201
Mailing address
112 W MAIN ST, BELOIT, KS 67420-2745
(785) 738-4200
(785) 738-4201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1296
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043382
BCBS
KS
Enumeration date
02/03/2006
Last updated
08/22/2020
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