David Cannon, OD - Medicare Optometrist in Traverse City, MI

David Cannon, OD is a medicare enrolled "Optometrist" provider in Traverse City, Michigan. He went to Ferris State College - College Of Optometry and graduated in 1982 and has 42 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Nichols Optical Inc and his current practice location is 3200 S Airport Rd W, #146, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 941-5440.

David Cannon is licensed to practice in Michigan (license number DC00295) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487630133.

Contact Information

David Cannon, OD
3200 S Airport Rd W, #146,
Traverse City, MI 49684-8117
(231) 941-5440
(231) 941-0893

Map and Direction




Healthcare Provider's Profile

Full NameDavid Cannon
GenderMale
SpecialityOptometry
Experience42 Years
Location3200 S Airport Rd W, Traverse City, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Cannon attended and graduated from Ferris State College - College Of Optometry in 1982
  NPI Data:
  • NPI Number: 1487630133
  • Provider Enumeration Date: 12/15/2005
  • Last Update Date: 07/29/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1850386350
  • Enrollment ID: I20111209000565

Medical Identifiers

Medical identifiers for David Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487630133NPI-NPPES
3278492MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist DC00295 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nichols Optical Inc24664479667

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Cannon allows following entities to bill medicare on his behalf.
Provider NameNichols Optical Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1679558712
PECOS PAC ID: 2466447966
Enrollment ID: O20040415000386

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Cannon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Cannon, OD
3200 S Airport Rd W, #146,
Traverse City, MI 49684-8117

Ph: (231) 941-5440
David Cannon, OD
3200 S Airport Rd W, #146,
Traverse City, MI 49684-8117

Ph: (231) 941-5440

Reviews and Comments


Optometrist in Traverse City, MI

Jennifer Ann Lintz, OD
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Julie Slough Runstrom, OD
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Phone: 231-935-8101    Fax: 231-935-0955
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Phone: 231-946-8460    Fax: 231-946-8507
Marc L Austhof Od Eye Care Services Pllc
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Phone: 231-933-7195    Fax: 231-933-7197

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.