Cottle Optometry, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

20151442 Issued in MO

Legal business name

COTTLE OPTOMETRY, PC

Doing business as

Summit Lakes Eye Care

Practice address

3700 SW Cheddington Dr
Lees Summit, MO 64082-4797

Phone

(816) 623-9990

Fax

(816) 623-9449

NPI assigned

Jan 8, 2007

Last updated

Aug 12, 2015By 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. John L. Cottle, O.D.NPI 1396743472

Title

Ceo

Phone

(816) 623-9990

Specialties & licenses 1

Addresses

Other names 1

• Summit Lakes Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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.

• John L Cottle, O.D.

  • Optometrist
  • Lee's Summit, MO
  • NPI 1396743472
  Medicare reassignment Care Compare group NPD Authorized official
• Eric Neil Roadman, O.D.

  • Optometrist
  • Kansas City, MO
  • NPI 1649345489
  Medicare reassignment Care Compare group
• Robert K Hartnett, OD

  • Optometrist
  • Lee's Summit, MO
  • NPI 1104942358
  Medicare reassignment NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1689722324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SW CHEDDINGTON DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824797",
            "telephone_number": "816-623-9990",
            "fax_number": "816-623-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SW CHEDDINGTON DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824797",
            "telephone_number": "816-623-9990",
            "fax_number": "816-623-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTLE OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "COTTLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-623-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "20151442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Lakes Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Costa, RBT
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #1838)
• Costco Wholesale Corporation (Costco Optical #1838)
• Carmen Leigh Costello, PHARMD
• John L Cottle, O.D.
• Connor Cotton, DPT PT
• Chelsea Coulter
• Jordan Coulter, PLPC
• Courageous Home Care, LLC

• Optometrist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.