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COLUMBIA CITY OPTOMETRY, P.C.
NPI 1639359755
Optometrist in Columbia City, IN

Active since November 06, 2007CLIA 15D2178827 · Waiver
512 N LINE STREET, COLUMBIA CITY, IN 46725(260) 244-6474(260) 244-6815 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Columbia City Optometry, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLUMBIA CITY OPTOMETRY, P.C. (NPI 1639359755), doing business as Angela Cotter, O.d., P.c., is a healthcare organization registered as an optometrist in Columbia City, Indiana and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Angela E Cotter, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1639359755
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCOLUMBIA CITY OPTOMETRY, P.C.
Location Address512 N LINE STREETColumbia City, IN 46725-1330
Mailing Address512 N Line StreetColumbia City, IN 46725-1330 · (260) 244-6474 · Fax (260) 244-6815
Phone(260) 244-6474
Fax(260) 244-6815
Organization SubpartNo
Authorized OfficialAngela E CotterOptometrist · (260) 244-6474
Enumeration DateNovember 6, 2007
Last NPPES UpdateFebruary 3, 2014
✔ NPI 1639359755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18002686
Definition
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.
512 N LINE STREET, Columbia City, IN 46725
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Other Names 1

Former Legal Business NameAngela Cotter, O.d., P.c.

Other Identifiers 1

Medicare NSC4634680001IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2178827

Columbia City Optometry · Columbia City, IN
Active · expires Feb 9, 2028
CLIA Number15D2178827
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorAngela E. Cotter
Laboratory Phone(260) 244-6474
Laboratory LocationColumbia City Optometry512 N Line Street, Columbia City, IN 46725
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Columbia City Optometry PC carries, from the Medicare DMEPOS supplier directory.

Columbia City Optometry PC

DMEPOS supplier · Columbia City, IN
✔

Accepts Medicare assignment

Columbia City Optometry PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20606477
Medicare Participant SinceFebruary 4, 2002
Supplier Location512 N Line StColumbia City, IN 46725
Phone(260) 244-6474
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANGELA E COTTER O.D.
Optometrist
512 N LINE STREET
COLUMBIA CITY, IN 46725
Whitley County (260) 244-6474
DR. RONALD E LONGENBAUGH O.D.
Optometrist
512 N LINE STREET
COLUMBIA CITY, IN 46725
Whitley County (260) 244-6361
DR. INGRID MARIE MCCLAIN OD
Optometrist
512 N LINE STREET
COLUMBIA CITY, IN 46725
Whitley County (260) 244-6474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Columbia City Optometry, P.C.'s NPI number?

The NPI number for Columbia City Optometry, P.C. is 1639359755. It was assigned to this organization in the NPPES registry on November 6, 2007. The provider was formerly known as Angela Cotter, O.D., P.C..

Where is Columbia City Optometry, P.C. located?

Columbia City Optometry, P.C. is located at 512 N Line Street, Columbia City, IN 46725. The listed phone number is (260) 244-6474.

What is Columbia City Optometry, P.C.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Columbia City Optometry, P.C. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Columbia City Optometry PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Columbia City Optometry, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2178827) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Columbia City Optometry, P.C. was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.