Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
KENSINGTON OPTOMETRY INC
Active
Organization
KENSINGTON OPTOMETRY INC
Active
Other names
Russell Cotteral dba Kensington Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL NORMAN COTTERAL OD (PRESIDENT, OWNER, OPTOMETRIST)
(510) 527-1714
Entity
Organization
Contact information
Practice address
396 COLUSA AVE, KENSINGTON, CA 94707-1209
(510) 527-1714
(510) 527-1715
Mailing address
396 COLUSA AVE, KENSINGTON, CA 94707-1209
(510) 527-1714
(510) 527-1715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5955
CA
152W00000X
Optometrist
Primary
9134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619911047
NPI (INDIVIDUAL)
CA
Enumeration date
07/03/2006
Last updated
10/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up