Individual provider Active NPI

Christina Lynn Cottingham, OD

  • Optometrist
  • Evansville, IN
National Provider Identifier
1275682452
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003273 Issued in IN
Practice address
5405 Pearl Dr
Suite 4
Evansville, IN 47712-8102
Phone
(812) 426-2066
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003273 IN Primary

Addresses

Primary practice location

5405 Pearl Dr
Suite 4
Evansville, IN 47712-8102

Mailing address

2556 Wood Dr
Henderson, KY 42420-2464
Phone (270) 830-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041002000013 IN Practitioner - Optometry 2961471214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McWilliams Vision Care LLCGroup PAC ID 3375705676, 3 clinicians

Practice addresses (Care Compare)

7144 E Virginia St
Suite a
Evansville, IN 47715-9125
Phone (812) 473-6080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003273INMDOptometrist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275682452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 WOOD DR",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202464",
            "telephone_number": "270-830-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 PEARL DR",
            "address_2": "SUITE 4",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477128102",
            "telephone_number": "812-426-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTINGHAM",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.