Individual provider Active NPI

Kathryn Elizabeth Brown-Cottom, LDO

  • Optician
  • Watkinsville, GA
National Provider Identifier
1497553952
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO002711 Issued in GA
Practice address
1260 Mars Hill Rd Ste 103
Watkinsville, GA 30677-4943
Phone
(706) 705-1613
Fax
(762) 310-0055
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X LDO002711 GA Primary

Addresses

Primary practice location

1260 Mars Hill Rd Ste 103
Watkinsville, GA 30677-4943

Mailing address

1260 Mars Hill Rd Ste 103
Watkinsville, GA 30677-4943
Phone (706) 705-1613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LDO002711GAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Experts, LLC Optician CurrentSince Mar 20, 2025 Accepting new patients

Locations

1260 Mars Hill Rd
Ste 103
Watkinsville, GA 30677
Phone (706) 705-1613

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": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1497553952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 MARS HILL RD STE 103",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774943",
            "telephone_number": "706-705-1613",
            "fax_number": "762-310-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 MARS HILL RD STE 103",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774943",
            "telephone_number": "706-705-1613",
            "fax_number": "762-310-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-COTTOM",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.