Kevin Cotter Odpa

LBN: Kevin Cotter Odpa
Kevin Cotter Odpa is an health care organization with primary practice located at 5108 Cleveland Blvd , Caldwell ID 83607-8002. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Kevin Cotter Odpa can be contacted via phone (208) 455-2197, or through Cotter, Kevin via phone (208) 455-2197.

Contact Information

Primary practice address
5108 Cleveland Blvd Caldwell ID 83607-8002
Phone: (208) 455-2197
Fax: (208) 455-2198
Website:
Map and Directions
Authorized official contact:
Name: Cotter, Kevin Doctor of Optometry (OD)
Phone: (208) 455-2197

Health care specialties

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

Profile Details

NPI number 1245420926
LBN Legal business name Kevin Cotter Odpa
DBA Doing business as
Authorized official Cotter, Kevin Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2007
Last updated Jul 27th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245420926 NPPES
Idaho Other 1592829 MEDICARE PROVIDER NUMBER

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