Active NPI
Kathryn Elizabeth Brown-Cottom, LDO
- Optician
- Watkinsville, GA
National Provider Identifier
1497553952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO002711
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LDO002711 | GA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optical Experts, LLC | Optician | Current | 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.