Cotter, Kevin Charles

Cotter, Kevin Charles is an individual health care provider with primary practice located at 5108 E Cleveland Blvd , Caldwell ID 83605-8002. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Cotter, Kevin Charles can be contacted via phone (208) 455-2197.

Contact Information

Primary practice address
5108 E Cleveland Blvd Caldwell ID 83605-8002
Phone: (208) 455-2197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-935 Idaho

Profile Details

NPI number 1124121058
LBN Legal business name Cotter, Kevin Charles
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers