Antoinette L Botti OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000984 Issued in PA

Legal business name

ANTOINETTE L BOTTI OD

Practice address

134 West Main St
Somerset, PA 15501

Phone

(814) 445-6395

Fax

(814) 444-1292

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Antoinette L Botti, OD

Title

Owner Sole Proprietor

Phone

(814) 445-6395

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1720256480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155010942",
            "telephone_number": "814-445-6395",
            "fax_number": "814-444-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 WEST MAIN ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "15501",
            "telephone_number": "814-445-6395",
            "fax_number": "814-444-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTOINETTE L BOTTI OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "BOTTI",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER SOLE PROPRIETOR",
        "authorized_official_telephone_number": "814-445-6395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0615830001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hemanth K Andanappa, MD
• Mary Ellen Anderson, LCSW
• Robert Anderson
• Zachary James Ankney, M.D.
• Ann G Smith M.D.,P.C.
• Area Agency on Aging of Somerset County
• Alexander Ash, CRNA
• Vann Angel Auxtero, BSN, RN, PMH-BC
• Deborah A Baceski, M.D.
• Rajesh R Bajpai, MD, MCH

• Optometrist in Somerset, PA
• Providers in Somerset, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.