| Kevin Cotter Odpa | |
|
5108 Cleveland Blvd, Caldwell, ID 83607-8002 | |
| (208) 455-2197 | |
| (208) 455-2198 |
| Full Name | Kevin Cotter Odpa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5108 Cleveland Blvd, Caldwell, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245420926 | NPI | - | NPPES |
| 1592829 | Other | ID | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-935 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Cotter Odpa 618 Winther Blvd, Nampa, ID 83651-6542 Ph: (208) 466-1395 | Kevin Cotter Odpa 5108 Cleveland Blvd, Caldwell, ID 83607-8002 Ph: (208) 455-2197 |
Lindsey Anne Belthoff, OD Optometrist Medicare: Medicare Enrolled Practice Location: 420 E Elm St, Caldwell, ID 83605 Phone: 208-459-3366 | |
Mr. William Thomas Black, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 E Elm St, Caldwell, ID 83605 Phone: 208-459-2020 Fax: 208-459-2034 | |
Cadence Brunzlick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Caldwell, ID 83605 Phone: 208-459-2020 | |
Amy Marie Neideffer, Optometrist Medicare: Medicare Enrolled Practice Location: 1702 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-2641 Fax: 208-459-2895 | |
Dr. Christopher Mark Card, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1702 S Kimball Ave, Caldwell, ID 83605 Phone: 208-459-2641 Fax: 208-459-2895 | |
Dr. Kevin Charles Cotter, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5108 E Cleveland Blvd, Caldwell, ID 83605 Phone: 208-455-2197 | |
Douglas Wayne Adams, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1906 Fairview Ave, Caldwell, ID 83605 Phone: 208-459-2020 Fax: 208-459-2034 |