Individual provider Active NPI

Natalie Kokotow, O.D.

  • Optometrist
  • Williamsville, NY
National Provider Identifier
1548419948
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7258 Issued in NY
Practice address
5467 Main St
Williamsville, NY 14221-6701
Phone
(716) 632-7944
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 12514 CA
Optometrist 152W00000X 7258 NY Primary

Addresses

Primary practice location

5467 Main St
Williamsville, NY 14221-6701

Mailing address

343 Brantwood Rd
Snyder, NY 14226-4307
Phone (716) 512-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081215000763 NY Practitioner - Optometry 8022170703 Reassigns benefits to 1 organization
I20241223001358 PA Practitioner - Optometry 8022170703 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7258NYMDOptometrist
12514CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Dec 17, 2024 Accepting new patients
Visionworks, Inc CurrentSince Dec 17, 2024 Accepting new patients
Williamsville Optical LLC Past Accepting new patients
NK Optical, LLC Past Accepting new patients

Locations

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

Organizations & group practices 5

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1548419948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 BRANTWOOD RD",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264307",
            "telephone_number": "716-512-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216701",
            "telephone_number": "716-632-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKOTOW",
        "first_name": "NATALIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12514",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "7258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.