Individual provider Active NPI

William J Cottone, O.D.

  • Corneal and Contact Management Optometrist
  • Venice, FL
National Provider Identifier
1366409112
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OP 2505 Issued in FL
Practice address
4171 Tamiami TRL S # 34
Venice, FL 34293-5111
Phone
(941) 492-9181
Fax
(941) 306-4786
NPI assigned
Apr 26, 2006
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2505 FL
Corneal and Contact Management Optometrist 152WC0802X OP 2505 FL Primary

Addresses

Primary practice location

4171 Tamiami TRL S # 34
Venice, FL 34293-5111

Mailing address

1504 Franklin LN
North Port, FL 34286-7683
Phone (941) 423-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171207001620 FL Practitioner - Optometry 2860759362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

4171 S Tamiami Trail
Suite 34
Venice, FL 34293-5111
Phone (941) 492-9181

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2505FLMDOptometrist
OP 2505FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Nov 7, 2017 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Nov 7, 2017 Accepting new patients
Schinderle Eugenides OD PA Optometrist Past Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Past Accepting new patients

Locations

7313 52nd Pl E
Bradenton, FL 34203
Phone (941) 758-4902

21301 S Tamiami Trl
Ste 440
Estero, FL 33928
Phone (239) 435-1155

4455 Cleveland Ave
Ste A
Fort Myers, FL 33901
Phone (239) 939-5393

1441 Tamiami Trl
Unit 325A
Port Charlotte, FL 33948

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

4133 S Tamiami Trl
Venice, FL 34293
Phone (941) 492-9181

4171 S Tamiami Trl
#34
Venice, FL 34293
Phone (941) 223-6381

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1366409112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 FRANKLIN LN",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342867683",
            "telephone_number": "941-423-1107",
            "fax_number": "941-764-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 TAMIAMI TRL S # 34",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935111",
            "telephone_number": "941-492-9181",
            "fax_number": "941-306-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTONE",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2505",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OP 2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.