Carl C. Cottrell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

255T Issued in WY

Legal business name

CARL C. COTTRELL, O.D.

Practice address

820 Coburn Ave
Worland, WY 82401-3317

Phone

(307) 347-6141

Fax

(307) 347-6142

NPI assigned

Jul 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Carl C. Cottrell, O.D.

Title

Owner/Optometrist

Phone

(307) 347-6141

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1750679965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "CARL C. COTTRELL, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "307-347-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WY",
            "license": "255T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134451-00",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery Brandon Butte, DO
• Jeanna M Butterfield, MSW, LCSW
• Michael C Calhoun
• Jeremiah Cannon, FNP
• Caring Hearts Case Management
• Keristyn J Carrell, NP
• Anita Christine Carver, OTR/L
• Susan M Chavis
• Emma B Christoffersen
• Carrie Clark

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.