KENSINGTON OPTOMETRY INC
NPI 1801825591
Optometrist in Kensington, CA

Active since July 03, 2006
396 COLUSA AVE, KENSINGTON, CA 94707(510) 527-1714(510) 527-1715 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 21, 2016, Dec 23, 2015 (2 updates tracked since 2015).

  • Organization
  • Optometrist

About KENSINGTON OPTOMETRY INC

This page provides the complete NPI Profile along with additional information for Kensington Optometry Inc, a provider established in Kensington, California operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1801825591 assigned on July 2006. The practitioner's primary taxonomy code is 152W00000X with license number 9134 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. Kensington Optometry Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Russell Cotteral Dba Kensington Optometry. The authorized official of this NPI record is Dr. Russell Norman Cotteral Od (President, Owner, Optometrist)

NPI
1801825591 Verify this NPI
Provider Legal Name
KENSINGTON OPTOMETRY INC
Other Organization Name
RUSSELL COTTERAL DBA KENSINGTON OPTOMETRY
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
396 COLUSA AVE KENSINGTON, CA 94707
Location Phone
(510) 527-1714
Location Fax
(510) 527-1715
Mailing Address
396 COLUSA AVE KENSINGTON, CA 94707
Mailing Phone
(510) 527-1714
Mailing Fax
(510) 527-1715
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-03-2006
Last Update Date
10-21-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
9134
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

5955 (CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RUSSELL NORMAN COTTERAL OD

Authorized Official Title
PRESIDENT, OWNER, OPTOMETRIST
Authorized Official Phone
(510) 527-1714

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FY844AMEDICARE PIN (08)CA 
ZZZ04659ZMEDICARE PIN (08) 
1619911047OTHER (01)CANPI (INDIVIDUAL)

Reviews for KENSINGTON OPTOMETRY INC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Acupuncturist
396 COLUSA AVE
KENSINGTON, CA 94707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801825591, enumerated as an "organization" on July 03, 2006.

The provider is located at 396 COLUSA AVE KENSINGTON, CA 94707 and the phone number is (510) 527-1714.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.