DR. JON H II COOPERRIDER (O.D.) – Optometrist, NPI 1730175829
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
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Provider Addresses for DR. JON H II COOPERRIDER (O.D.)
484, Park Avenue West, Mansfield Central Park District, Mansfield, Richland County, Ohio, 44906, United States
MANSFIELD, OH 449063118
Phone: (419) 525-0330
Fax: (419) 525-3362
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $338.
Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($224).
Total Amount
$338
General + Research + Ownership
Payments
4
Total payment records
General Amount
$338
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $224 |
| Oyster Point Pharma, Inc. | $98 |
| Alcon Vision LLC | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110726000825 | I | Optometry | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 321 | 265 | $0 |
| 92014 | Established patient complete exam of visual system | 142 | 142 | $0 |
| 92133 | Imaging of optic nerve | 79 | 79 | $0 |
| 92083 | Exam of visual field with extended testing | 60 | 59 | $0 |
| 92134 | Imaging of retina | 37 | 37 | $0 |
Insurance plans in this area (ZIP 44906)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nephrology, Internal Medicine | OH | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | MN | |
| Nurse Practitioner | OH |
Reviews
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