Cottrell,Lloyd Optometric,PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2396 Issued in MN

Legal business name

COTTRELL,LLOYD OPTOMETRIC,PA

Practice address

295 Tyler Rd S
Red Wing, MN 55066-1736

Phone

(651) 385-0886

NPI assigned

Apr 1, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Daniel M Cottrell

Title

President

Phone

(507) 951-0144

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1194014910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 VIKING DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 TYLER RD S",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550661736",
            "telephone_number": "651-385-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTRELL,LLOYD OPTOMETRIC,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-951-0144"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Copeman, OT
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• Mark Michael Cota
• Mikayla Anne Cota
• County of Goodhue
• County of Goodhue Health & Human Services
• Brian P Coyle, MD
• Creekstone Montessori School
• Vivian G. Cuevas, D.D.S.

• Optometrist in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.