Carl C Cottrell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

255T Issued in WY

Practice address

820 Coburn Ave
Worland, WY 82401-3317

Phone

(307) 347-6141

Fax

(307) 347-6142

NPI assigned

Jun 13, 2006

Last updated

Dec 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Carl C. Cottrell, O.D.

  • Optometrist
  • Worland, WY
  • NPI 1750679965
  Authorized official Same address or phone

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1740222512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824010002",
            "telephone_number": "307-347-6141",
            "fax_number": "307-347-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 COBURN AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013317",
            "telephone_number": "307-347-6141",
            "fax_number": "307-347-6142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Railway Ave",
            "address_purpose": "LOCATION",
            "city": "Newcastle",
            "state": "WY",
            "postal_code": "827012814",
            "country_code": "US",
            "telephone_number": "307-746-2371",
            "fax_number": "307-746-2195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "CARL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "255T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Jacob Colton, DO
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• Kacey C Cooley
• Karsyn Hope Cornatzer, MS
• Rebeca Corona
• County of Washakie
• County of Washakie
• County of Washakie
• Cowboy Medical Group PC
• Cowboy Medical Group PC

• Optometrist in Worland, WY
• Providers in Worland, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.

Verify at the official NPI Registry.