John Todd Cornett, O.D,

Primary specialty

OptometristTaxonomy code 152W00000X

License

4625TG Issued in TX

Practice address

3635 S Soncy
Amarillo, TX 79119

Phone

(806) 356-6868

Fax

(806) 351-0120

NPI assigned

May 12, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1801847207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 S SONCY",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79118",
            "telephone_number": "806-356-6868",
            "fax_number": "806-351-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 S SONCY",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79119",
            "telephone_number": "806-356-6868",
            "fax_number": "806-351-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "JOHN TODD",
        "credential": "O.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4625TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00409729",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81972Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deidre Andrea Corbin
• Philip J Corbin Sr., DDS MS
• Cornel Van Gorp, MD, PA
• Ashley Cornelius
• Kelli Cornell, PHARMD
• Carlos Coronado Romo
• Melissa Coronado
• Brandi Nicole Corpier, PHARMD
• Sonia Teresa Corrales, LVN
• Cynthia Milagros Correa-Colon, M.D.

• Optometrist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.