Mark Christopher Cotter, O.D.
Individual provider Active NPI Optometrist · Reidsville, NC
NPI 1609830249 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1609830249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1411 (NC)
- Practice address
- 100 Professional Dr
Reidsville, NC 27320-7173 - Phone
- (336) 342-3336
- Fax
- (336) 342-3226
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Myeyedr Optometry of North Carolina PLLC
Practice addresses (Care Compare)
100 Professional Dr
Reidsville, NC 27320-7173
Phone (336) 342-3336
1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060210000194 | NC | Practitioner - Optometry | 8628083714 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of North Carolina PLLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates OD PA | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of North Carolina | Optometrist | Past | Accepting new patients |
Locations
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
812 S Van Buren Rd
Eden, NC 27288
Phone (336) 623-2020
3354 W Friendly Ave
Greensboro, NC 27410
Phone (336) 387-0930
3354 W Friendly Ave
Ste 147
Greensboro, NC 27410
Phone (336) 387-0930
5710 W Gate City Blvd
Ste Q
Greensboro, NC 27407
Phone (336) 856-8711
411A Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 790-3502
3911 Fountain Grove Dr
High Point, NC 27265
Phone (336) 889-2225
1027 S Main St
Kernersville, NC 27284
Phone (336) 996-2020
714 Highway St
Madison, NC 27025
Phone (336) 427-2020
730 S Scales St
Ste F
Reidsville, NC 27320
Phone (336) 342-3354
100 Professional Dr
Reidsville, NC 27320
Phone (336) 342-3336
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1411 | NC | Yes |
Addresses
Primary practice location
100 Professional Dr
Reidsville, NC 27320-7173
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890905F | Medicaid | NC | |
| P00253796 | Other | NC | RAILROAD MCARE PROV # |
| 09228 | Other | NC | BCBS GROUP # |
| 7909228 | Other | NC | MEDICAID GROUP # |
| 89011W8 | Other | NC | MEDICAID GROUP # |
| 8909406 | Other | NC | MEDICAID GROUP # |
| DD8241 | Other | NC | RAILROAD MCARE GROUP # |
| 017NK | Other | NC | BCBS GROUP # |
| 0905F | Other | NC | BCBS PROV # |
| 246648I | Other | NC | MEDICARE GROUP # |
| 011W8 | Other | NC | BCBS GROUP # |
| 246648W | Other | NC | MEDICARE GROUP # |
| 7909232 | Other | NC | MEDICAID GROUP N# |
Other providers in Reidsville, NC
- Shynese Cooper
- Keisha Corbett
- Cornerstone Health Care, LLC
- Dawn Madren Corum
- James Randall Cothran
- Frances Hough Cresenzo-Dishmon
- Mark S Cresenzo
- Angela Crouch
- Mary D Crumpton
- Curis at Reidsville Opco LLC
All providers in Reidsville, NC · Optometrist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.