Individual provider Active NPI

Heather Louise Cotter, O.D.

  • Optometrist
  • Saint Joseph, MI
National Provider Identifier
1962610840
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004441 Issued in MI
Practice address
2008 Washington Ave
Saint Joseph, MI 49085-2431
Phone
(269) 983-1303
Fax
(269) 983-1306
NPI assigned
May 21, 2007
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004441 MI Primary
Optometrist 152W00000X 18003540A IN

Addresses

Primary practice location

2008 Washington Ave
Saint Joseph, MI 49085-2431

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • Heather L Cotter Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071112000152 MI Practitioner - Optometry 0244328102 Reassigns benefits to 1 organization
I20120326000644 IN Practitioner - Optometry 0244328102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2008 Washington Ave
Saint Joseph, MI 49085-2431
Phone (269) 983-1303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jan 7, 2022 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jan 7, 2022 Accepting new patients
DRS Steven and Brenda Smoke OD PC Optometrist Past Accepting new patients
Dr. Bradley P. Mundy, O.D., PLLC Optometrist Past Accepting new patients

Locations

1400 N Wayne St
Angola, IN 46703
Phone (260) 668-8881

2224 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-1533

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

3701 Franklin St
Michigan City, IN 46360
Phone (219) 872-8844

1761 M 139
Benton Harbor, MI 49022
Phone (269) 934-0424

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

1421 S 11th St
Niles, MI 49120
Phone (269) 684-1330

2008 Washington Ave
Saint Joseph, MI 49085
Phone (269) 983-1303

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1962610840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 WASHINGTON AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852431",
            "telephone_number": "269-983-1303",
            "fax_number": "269-983-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "HEATHER",
        "middle_name": "LOUISE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004441",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003540A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "COTTER",
            "middle_name": "L",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.