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DAVID CANNON OD
NPI 1487630133
Optometrist in Traverse City, MI

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
3200 S AIRPORT RD W, #146, TRAVERSE CITY, MI 49684(231) 941-5440(231) 941-0893 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Cannon Od NPPES

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

DAVID CANNON OD (NPI 1487630133) is an individual optometrist in Traverse City, Michigan, licensed in Michigan (DC00295) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1982).

NPPES Registry Identity

NPI1487630133
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDAVID CANNONCredential: OD
Location Address3200 S AIRPORT RD W, #146Traverse City, MI 49684-8117
Mailing Address3200 S Airport Rd W, #146Traverse City, MI 49684-8117 · (231) 941-5440 · Fax (231) 941-0893
Phone(231) 941-5440
Fax(231) 941-0893
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1982
Enumeration DateDecember 15, 2005
Last NPPES UpdateJuly 29, 2011
✔ NPI 1487630133 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 · DC00295
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.
3200 S AIRPORT RD W, Traverse City, MI 49684
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Other Identifiers 3

Medicaid3278492MI
Medicare UPINU17597
Medicare ID-Type Unspecified0B87610002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Cannon Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850386350
PECOS Enrollment IDI20111209000565
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE SLOUGH RUNSTROM OD
Optometrist
3200 S AIRPORT RD W, #146
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-7788
ELIZABETH NICHOLS OD
Optometrist
3200 S AIRPORT RD W, 146
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 941-5440
JENNIFER LEIGH HENBEST O.D.
Optometrist
3200 S AIRPORT RD W, TRAVERSE CITY
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-7711
BELTONE OF NORTHERN MICHIGAN
Hearing Aid Equipment
3200 S AIRPORT RD W
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 922-9922

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 Cannon's NPI number?

The NPI number for David Cannon is 1487630133. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is David Cannon located?

David Cannon practices at 3200 S Airport Rd W #146, Traverse City, MI 49684. The listed phone number is (231) 941-5440.

What is David Cannon's specialty?

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

Is David Cannon enrolled in Medicare?

Yes. David Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Cannon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 5 other insurers list David Cannon 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 Cannon was last updated on July 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.