DR. RUSSELL NORMAN COTTERAL (NPI# 1619911047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619911047 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL NORMAN COTTERAL |
| Credential | OD |
| Practice Address |
396 Colusa Ave Kensington CA 94707-1209 |
| Practice Telephone | 5105271714 |
| Practice Fax Number | 5105271715 |
| Mailing Telephone | 5105271714 |
| Mailing Fax Number | 5105271715 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-12-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9134 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL EYE SERVICES | 12452 | 01 |
| Street Address |
396 COLUSA AVE |
| City | KENSINGTON |
| State | CA |
| Zip Code | 94707-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801825591 | Kensington Optometry Inc | Optometrist | 396 Colusa Ave, Kensington, CA 94707-1209 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306389556 | Tuyet-lyn Christensen | Marriage & Family Therapist | 925 The Alameda, Suite 23, Berkeley, CA 94707 | 2016-11-21 |
| 1457807208 | William L Carpenter | Registered Nurse | 875 Arlington Ave, Berkeley, CA 94707 | 2016-08-31 |
| 1992136451 | Zeph Locke | Marriage & Family Therapist | 1760 Solano Ave 300, Berkeley, CA 94707 | 2013-12-10 |
| 1295033553 | Emily Zubritsky | Counselor | 725 Spruce St., Berkeley, CA 94707 | 2011-03-09 |
| 1093025728 | Hajera Rostam | Psychologist | 970 Tulare Avenue, Berkeley, CA 94707 | 2010-10-15 |
| 1457689382 | Rand Steven Pallock | Marriage & Family Therapist | 1635 Soland Ave, Berkeley, CA 94707 | 2009-12-04 |
| 1598936957 | Doreen Ruth Downing | Psychologist | 1700 Solano Ave. Suite F, Berkeley, CA 94707 | 2008-03-13 |
| 1861688285 | Thomas James Hendrickson | Chiropractor | 388 Colusa Circle, Kensington, CA 94707 | 2007-09-19 |
| 1184827362 | Barbara Louise Mercer | Psychologist | 376 Colusa Avenue, Suite 1, Kensington, CA 94707 | 2007-06-06 |
| 1679780480 | Judithann H. David | Psychologist | 919 The Alameda Ste 5, 919 The Alameda Ste 5, Berkeley, CA 94707 | 2007-05-17 |
| Find all providers in zip 94707 | ||||
| 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 |
|---|---|---|---|---|
| 1689096497 | David Z. Ephraim, O.d., LLC | Optometrist | 10518 Connecticut Ave Lowr Level, Kensington, MD 20895-2469 | 2014-01-13 |
| 1851643951 | Dr. Lisa M. Arciero Od LLC | Optometrist | 28 Chamberlain Hwy, Kensington, CT 06037-1921 | 2012-10-12 |
| 1487735767 | Barry S Ephraim | Optometrist | 10518 Connecticut Ave, Kensington, MD 20895-2467 | 2006-10-17 |
| 1518909274 | Lawrence Stamer Thal | Optometrist | 291 Arlington Ave, Kensington, CA 94707-1401 | 2006-06-10 |
| 1215450317 | Katrina Hrubiec | Optometrist | 28 Chamberlain Hwy, Kensington, CT 06037-1921 | 2017-07-20 |
| 1912310673 | Kristin Stupiansky | Optometrist | 10810 Connecticut Ave, Kensington, MD 20895 | 2014-06-10 |
| 1003102757 | David Zachary Ephraim | Optometrist | 10518 Connecticut Ave, Kensington, MD 20895-2467 | 2011-06-21 |
| 1568751907 | Dr. Donna M. Glenn P.C. | Optometrist | 11301 Rockville Pike, Kensington, MD 20895-1060 | 2011-04-06 |
| 1598889792 | Donna Marie Glenn | Optometrist | 11301 Rockville Pike, Lenscrafters, Kensington, MD 20895-1060 | 2007-03-16 |
| 1215071311 | Zhilin Lan | Optometrist | 10810 Connecticut Ave, Kaiser Permanente Kensington Medical Center, Kensington, MD 20895-2138 | 2007-02-20 |
| Find all providers in KENSINGTON | ||||
| City | KENSINGTON |
| Zip Code | 94707 |
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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.