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Contact Information

KEVIN COTTER ODPA
5108 CLEVELAND BLVD
CALDWELL, ID83607-8002
 Phone: 208-455-2197
 Fax: 208-455-2198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEVIN COTTER ODPA

NPI Number 1245420926
LBN Legal business name KEVIN COTTER ODPA
Authorized official KEVIN COTTER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2007
Last updated 07/27/2007 - About 19 years ago
Identifiers
ID License # ODP-935
ID Other 1592829 MEDICARE PROVIDER NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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