DR. JANIS M COTTER (NPI# 1104922202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104922202 |
| Entity Type | Individual |
| Full Name | DR. JANIS M COTTER |
| Credential | O.D. |
| Practice Address |
80 Broadway Revere MA 02151-5305 |
| Practice Telephone | 7812897929 |
| Mailing Telephone | 7812897929 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3221 | MA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HARVARD PILGRIM | 153338 | 01 |
| MA | NETWORK HEALTH | 99369301 | 01 |
| MA | TUFTS HEALTH PLAN | 725436 | 01 |
| MA | AETNA | 3281178 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0027563 | 01 |
| MA | FALLON HEALTH PLAN | 2219 | 01 |
| MA | BLUE CROSS BLUE SHIELD | W15695 | 01 |
| MA | 0353094 | 05 | |
| MA | CIGNA | 670120 | 01 |
| MA | HEALTH NEW ENGLAND | 36880 | 01 |
| MA | CHILDRENS MEDICAL SECURIT | 53581 | 01 |
| Street Address |
80 BROADWAY |
| City | REVERE |
| State | MA |
| Zip Code | 02151-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013469071 | Philip J Cotter | Technician/Technologist | 80 Broadway, Revere, MA 02151-5305 | 2016-10-25 |
| 1447387998 | Janis M. Cotter, Od | Optometrist | 80 Broadway, Revere, MA 02151-5305 | 2007-02-28 |
| 1982700043 | Rettoc Optical Service | Eyewear Supplier (Equipment, not the service) | 80 Broadway, Revere, MA 02151-5305 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992172951 | Sandrine Tagni Kounga | Optometrist | 17 Phillips Ave, Revere, MA 02151-5504 | 2015-08-25 |
| 1497752513 | Paul V Hamel | Optometrist | 339 Squire Rd, Revere, MA 02151-4309 | 2005-07-05 |
| 1043495260 | Philip Lloyd Crooks | Optometrist | 339 Squire Rd, Pearle Vision, Revere, MA 02151-4309 | 2008-01-07 |
| 1447387998 | Janis M. Cotter, Od | Optometrist | 80 Broadway, Revere, MA 02151-5305 | 2007-02-28 |
| 1275678260 | Precision Vision, Inc | Optometrist | 339 Squire Rd, Revere, MA 02151-4309 | 2007-02-20 |
| 1104976463 | Hong-ming Cheng | Optometrist | 333 Broadway, Revere, MA 02151 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336030 | Nicole Leo | Optometrist | 18 Dana Rd, Boxford, MA 01921-2661 | 2020-11-06 |
| 1063019446 | Appleton Eye Associates PC | Optometrist | 21 Market Street, Suite 100, Ipswitch, MA 01938 | 2020-10-08 |
| 1083221352 | Myeyedr Optometry of Massachusetts P C | Optometrist | 495 Cabot St Ste 1, Beverly, MA 01915-2515 | 2020-09-30 |
| 1750994448 | Compassion Eye Care LLC | Optometrist | 127 Eastern Ave Ste 5, Gloucester, MA 01930-1870 | 2020-08-24 |
| 1487264404 | Arash Namiranian | Optometrist | 18 Ashland Woods Ln, Ashland, MA 01721-4418 | 2020-08-04 |
| 1588272181 | Angela Ciocca Od Pllc | Optometrist | 1176 Memorial Dr Ste B, Chicopee, MA 01020-3958 | 2020-07-20 |
| 1588289078 | Ying Wu-freeman | Optometrist | 30 Converse Ave, Malden, MA 02148-7508 | 2020-06-10 |
| 1881218634 | Alexa Caruso | Optometrist | 1191 Chestnut St Ste 707, Newton, MA 02464-1351 | 2020-06-07 |
| 1811510795 | William Cheon | Optometrist | 84 Matheson Dr, Marlborough, MA 01752-4597 | 2020-05-26 |
| 1790314557 | Kirsten Brady | Optometrist | 10 Fairfield St Apt 3, Boston, MA 02116-1666 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.