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Individual

DR. ANGELA E COTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
512 N LINE STREET, COLUMBIA CITY, IN 46725-1330
(260) 244-6474
(260) 244-6815
Mailing address
512 N LINE STREET, COLUMBIA CITY, IN 46725-1330
(260) 244-6474
(260) 244-6815

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002686
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
320000963
VSP
IN
01
4634680001
DMERC
IN
01
IN2686
ANTHEM BLUE VISION
IN
Enumeration date
12/30/2006
Last updated
05/13/2021
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