Columbia City Optometry, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002686 Issued in IN

Legal business name

COLUMBIA CITY OPTOMETRY, P.C.

Practice address

512 N Line Street
Columbia City, IN 46725-1330

Phone

(260) 244-6474

Fax

(260) 244-6815

NPI assigned

Nov 6, 2007

Last updated

Feb 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angela E Cotter, O.D.NPI 1033275102

Title

Optometrist

Phone

(260) 244-6474

Specialties & licenses 1

Addresses

Other names 1

• Angela Cotter, O.D., P.C. Former legal business name

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela E Cotter, O.D.

  • Optometrist
  • Columbia City, IN
  • NPI 1033275102
  Medicare reassignment Care Compare group NPD Authorized official
• Ingrid Marie McClain, OD

  • Optometrist
  • Columbia City, IN
  • NPI 1366420127
  Medicare reassignment Care Compare group NPD
• Ronald E Longenbaugh, O.D.

  • Optometrist
  • Columbia City, IN
  • NPI 1043366057
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1639359755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N LINE STREET",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251330",
            "telephone_number": "260-244-6474",
            "fax_number": "260-244-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N LINE STREET",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251330",
            "telephone_number": "260-244-6474",
            "fax_number": "260-244-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA CITY OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "260-244-6474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela Cotter, O.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Alan Carroll, PHARMD, RPH
• Timothy R Chamberlain, M.D.
• Dimpal Chaudhari, PHARMD
• Alan J Christenberry
• Kristin Lynn Collins, DPT
• Pamela Connelly-Castle, BA/BS
• Emma Conrad, LMHCA
• Alisha Copp
• Mary Corkwell
• Ann Marie Coronato, COTA

• Optometrist in Columbia City, IN
• Providers in Columbia City, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.