Active NPI
Kathryn Cotter, OD
- Optometrist
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003645
- Practice address
- 1270 Arbor Place Mall
Douglasville, GA 30135-7105 - Phone
- (770) 942-9827
- NPI assigned
- May 19, 2025
- Last updated
- May 19, 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003645 | GA | Primary |
Addresses
Primary practice location
1270 Arbor Place Mall
Douglasville, GA 30135-7105
Mailing address
590 Coalville Dr
Lawrenceville, GA 30046-9363
Phone (910) 617-2921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1270 Arbor Place Mall
Douglasville, GA 30135-7105
Phone (770) 942-9827
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003645 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infocus Eye Care, Inc. | Optometrist | Current | Accepting new patients |
Locations
6700 Douglas Blvd
Ste 1270
Douglasville, GA 30135
Phone (770) 577-4434
3600 Marketplace Blvd
Ste 310
East Point, GA 30344
Phone (404) 346-2020
915 Ridgewalk Pkwy
Ste 425
Woodstock, GA 30188
Phone (770) 517-4414
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1639961600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 COALVILLE DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300469363",
"telephone_number": "910-617-2921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 ARBOR PLACE MALL",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301357105",
"telephone_number": "770-942-9827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTER",
"first_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.