FAMILY EYE CARE ASSOCIATES
NPI 1417900077
Optometrist in Cadillac, MI

Active since May 17, 2006CLIA 23D2097248 · Waiver
8809 PINE RIDGE DR, CADILLAC, MI 49601(231) 775-3755(231) 775-1710 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Family Eye Care Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY EYE CARE ASSOCIATES (NPI 1417900077) is a healthcare organization registered as an optometrist in Cadillac, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 24, 2027 and lists David S Cook, President/owner, as its authorized official.

NPPES Registry Identity

NPI1417900077
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDAVID S COOK O.D. P.C.
Location Address8809 PINE RIDGE DRCadillac, MI 49601-1289
Mailing Address8809 Pine Ridge DrCadillac, MI 49601-1289 · (231) 775-3755 · Fax (231) 775-1710
Fax(231) 775-1710
Organization SubpartNo
Authorized OfficialDavid S CookPresident/owner · (231) 775-3755
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 29, 2008
✔ NPI 1417900077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901003808
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
8809 PINE RIDGE DR, Cadillac, MI 49601

Other Names 1

Doing Business AsFamily Eye Care Associates

Other Identifiers 5

Other900H310350MI · Blue Cross Blue Shield
Medicare UPINU62410MI
Medicare NSC5008090001MI
Medicare ID-Type UnspecifiedP12520001MI
Medicaid944610320MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Eye Care Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20050322000479Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Eye Care Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1780753749
8809 PINE RIDGE DR
Cadillac, MI 49601
(231) 775-3755
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1962185165
8809 PINE RIDGE DR
Cadillac, MI 49601
(231) 775-3755
✔ PECOS✔ Accepts Medicare2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2097248

Family Eye Care Associates · Cadillac, MI
Active · expires Oct 24, 2027
CLIA Number23D2097248
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorDavid S. Cook
Laboratory Phone(231) 775-3755
Laboratory LocationFamily Eye Care Associates8809 Pine Ridge Drive, Cadillac, MI 49601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories David S Cook O.D. P.C. carries, from the Medicare DMEPOS supplier directory.

David S Cook O.D. P.C.

DMEPOS supplier · Cadillac, MI
✔

Accepts Medicare assignment

David S Cook O.D. P.C. agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20581349
Medicare Participant SinceApril 1, 2005
Supplier Location8809 Pine Ridge DrCadillac, MI 49601
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David S Cook O.D. P.C.'s NPI number?

The NPI number for David S Cook O.D. P.C. is 1417900077. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Family Eye Care Associates.

Where is David S Cook O.D. P.C. located?

David S Cook O.D. P.C. is located at 8809 Pine Ridge Dr, Cadillac, MI 49601. The listed phone number is (231) 775-3755.

What is David S Cook O.D. P.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is David S Cook O.D. P.C. enrolled in Medicare?

Yes. David S Cook O.D. P.C. is registered in the Medicare PECOS enrollment system.

When is David S Cook O.D. P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through David S Cook O.D. P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to David S Cook O.D. P.C., in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does David S Cook O.D. P.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, David S Cook O.D. P.C. accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does David S Cook O.D. P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2097248) is associated with this NPI, valid through October 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does David S Cook O.D. P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list David S Cook O.D. P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David S Cook O.D. P.C. was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.