Individual provider Active NPI

Joanna Cotter, OD

  • Optometrist
  • Greenfield, WI
National Provider Identifier
1922584846
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5570 Issued in FL
Practice address
4850 S 74TH St
Greenfield, WI 53220-4359
Phone
(414) 282-3200
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5570 FL Primary

Addresses

Primary practice location

4850 S 74TH St
Greenfield, WI 53220-4359

Mailing address

12322 Classic Dr
Coral Springs, FL 33071-7732

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joanna.cotter.p26@direct.eyefl.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20190829000160 FL Practitioner - Optometry 3779811740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Community Health Center Inc Current Accepting new patients
Miami Beach Community Health Center, Inc. CurrentSince Jun 21, 2021 Accepting new patients
Miami Beach Community Health Center Inc CurrentSince Jun 21, 2021 Accepting new patients

Locations

710 Alton Rd
Miami Beach, FL 33139

11645 Biscayne Blvd
Ste 301
North Miami, FL 33181
Phone (869) 202-0217

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

Interoperability endpoints

  • Direct secure messaging: joanna.cotterod.p26@direct.eyefl.nextgenshare.com
  • Direct secure messaging: joanna.cotter.p26@direct.eyefl.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1922584846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12322 CLASSIC DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 S 74TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204359",
            "telephone_number": "414-282-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "JOANNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joanna.cotter.p26@direct.eyefl.nextgenshare.com",
            "affiliation": "N",
            "address_1": "8585 Sunset Dr Ste 201",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331433746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.