Active NPI
Antoinette L Botti, OD
- Optometrist
- Somerset, PA
National Provider Identifier
1497975197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000984
- Practice address
- 134 W Main St
Somerset, PA 15501 - Phone
- (814) 445-6395
- Fax
- (814) 444-1292
- NPI assigned
- Apr 26, 2007
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000984 | PA | Primary |
Addresses
Primary practice location
134 W Main St
Somerset, PA 15501
Mailing address
PO Box 942
Somerset, PA 15501
Phone (814) 445-6395
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138233 | Other | EYEMED | |
| 6221T | Other | VBA | |
| VSP251621027 | Other | VSP | |
| 129484 | Other | PA | MEDICAREB |
| 410009029 | Other | PALMETTO GBA | |
| AB129484 | Other | SPECTERA | |
| 251621027 | Other | PEBTF | |
| 392155 | Other | NVA | |
| C000129484 | Other | UNITED AMERICAN INS CO | |
| 251621027 | Other | ACORDIA | |
| 129484 | Other | MEDICAREB | |
| 53407 | Other | DAVIS | |
| 91053360936 | Other | APWU | |
| BO129484 | Other | CLARITY | |
| 0005422145 | Other | AETNA | |
| 399390 | Other | COMBINED INS CO OF AMERIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111230000152 | PA | Practitioner - Optometry | 9032232483 | Practice locations: Somerset, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
134 W Main St
Somerset, PA 15501-2035
Phone (814) 445-6395
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000984 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284076800000",
"number": "1497975197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 942",
"city": "SOMERSET",
"state": "PA",
"postal_code": "15501",
"telephone_number": "814-445-6395",
"fax_number": "814-444-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W MAIN ST",
"city": "SOMERSET",
"state": "PA",
"postal_code": "15501",
"telephone_number": "814-445-6395",
"fax_number": "814-444-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTI",
"first_name": "ANTOINETTE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2010-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "138233",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA",
"identifier": "6221T",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP",
"identifier": "VSP251621027",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAREB",
"identifier": "129484",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "410009029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "AB129484",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEBTF",
"identifier": "251621027",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NVA",
"identifier": "392155",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED AMERICAN INS CO",
"identifier": "C000129484",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACORDIA",
"identifier": "251621027",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAREB",
"identifier": "129484",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS",
"identifier": "53407",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APWU",
"identifier": "91053360936",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLARITY",
"identifier": "BO129484",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005422145",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMBINED INS CO OF AMERIC",
"identifier": "399390",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.