NPIMap

Organization Active NPI

Dr. Shawn Cottrell O.D., P.C.

  • Optometrist
  • Arvada, CO
National Provider Identifier
1477856425
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2601 Issued in CO
Legal business name
DR. SHAWN COTTRELL O.D., P.C.
Practice address
7913 Allison Way
Suite 102
Arvada, CO 80005-5032
Phone
(303) 424-5282
Fax
(303) 424-8291
NPI assigned
Dec 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Dr. Shawn Ryan Cottrell, O.D.NPI 1376733709
Title
Optometrist
Phone
(303) 424-5282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2601 CO Primary

Addresses

Primary practice location

7913 Allison Way
Suite 102
Arvada, CO 80005-5032

Mailing address

7913 Allison Way
Suite 102
Arvada, CO 80005-5032
Phone (303) 424-5282

Other names 1

  • Arvada Optometric Center P.C. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110510000352 CO Part B Supplier - Clinic/Group Practice 7517143498 Receives reassigned benefits from 6 practitioners
Practice locations: Arvada, CO

National Provider Directory

National Provider Directory

Locations

7913 Allison Way
Ste 102
Arvada, CO 80005
Phone (303) 424-5282

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1477856425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 ALLISON WAY",
            "address_2": "SUITE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055032",
            "telephone_number": "303-424-5282",
            "fax_number": "303-424-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 ALLISON WAY",
            "address_2": "SUITE 102",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055032",
            "telephone_number": "303-424-5282",
            "fax_number": "303-424-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHAWN COTTRELL O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "303-424-5282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arvada Optometric Center P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.