ROGER A OTTO O D P A
NPI 1093909152
Optometrist in Key West, FL
About Roger A Otto O D P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROGER A OTTO O D P A (NPI 1093909152) is a healthcare organization registered as an optometrist in Key West, Florida and active in the NPI registry since August 2007. The organization lists Tammy Ford, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Roger A Otto O D P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Roger A Otto O D P A, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Roger A Otto O D P A's NPI number?
The NPI number for Roger A Otto O D P A is 1093909152. It was assigned to this organization in the NPPES registry on August 31, 2007.
Where is Roger A Otto O D P A located?
Roger A Otto O D P A is located at 1444 Kennedy Dr, Key West, FL 33040. The listed phone number is (305) 294-9711.
What is Roger A Otto O D P A's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Roger A Otto O D P A enrolled in Medicare?
Yes. Roger A Otto O D P A is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roger A Otto O D P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Roger A Otto O D P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Roger A Otto O D P A accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Roger A Otto O D P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Roger A Otto O D P A was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Roger A Otto O D P A · NPI 1093909152
Optometrist organization in Key West, Florida. Organization record, active in the CMS NPPES registry since August 31, 2007.
## Identity
- **NPI:** 1093909152 (Entity type: Organization)
- **Enumerated:** August 31, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Tammy Ford, OFFICE MANAGER
## Practice location
- **Address:** 1444 KENNEDY DR, Key West, FL 33040-4008
- **Phone:** (305) 294-9711 · **Fax:** (305) 294-8307
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2008
- **Other identifiers:** Medicare NSC 4354230001 (FL); Medicaid 084967700 (FL); Medicare PIN 19315Z (FL); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1093909152) · Data from the CMS NPPES public registry.