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Elijah Allan Jackson Bannister, OD

NPI 1558093591ActiveIndividual· Optometrist· Longview, WA

Optometrist (OD) in Longview, Washington, trained at Pacific University - College of Optometry (class of 2022). In 2024 Medicare paid $24,131 for 218 patients, and Part D covered 189 of their prescriptions, 68% of them generic. Coopervision Inc. reported $21.36 in payments in 2025, mostly food and beverage.

Overview

NPI1558093591
StatusActive
Entity typeIndividual
CredentialOD
Sole proprietorNo
NPI issuedJun 28, 2022
Last updated in NPPESAug 2, 2022
Certified by providerAug 2, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000XOD61311755WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Optometry (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients218
Services billed485 across 16 procedure codes
Paid by Medicare$24,131

Part D prescriptions in 2024

Prescriptions (claims)189 · 269 30-day fills
Patients83
Total drug cost$13,526
Generic share68% of claims

Medicare sources and data years

Education and affiliations

Medical schoolPacific University - College of Optometry
Graduation year2022
Medicare specialtyOptometry

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$21.36 · 1 payment from 1 company
  • 2024$22.74 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Coopervision Inc.$21.361

What the 2025 payments were for

  • Food and Beverage$21.36 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Optometrist providers in Longview

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