OTIS OPTOMETRY, LLC - NPI 1568873602 - Optometrist in Camdenton, MO

Q: What is Otis Optometry, LLC's NPI number?

The NPI number for Otis Optometry, LLC is 1568873602. It was assigned to this organization in the NPPES registry on May 12, 2014.

Q: What is Otis Optometry, LLC's specialty?

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

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About Otis Optometry, Llc NPPES

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

OTIS OPTOMETRY, LLC (NPI 1568873602) is a healthcare organization registered as an optometrist in Camdenton, Missouri and active in the NPI registry since May 2014. The organization lists Matt David Wickham, Owner, as its authorized official.

NPPES Registry Identity

NPI1568873602

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameOTIS OPTOMETRY, LLC

Location Address94 CECIL STCamdenton, MO 65020-7057

Mailing Address1939 Wentzville Pkwy, Ste 166Wentzville, MO 63385-3424 · (636) 812-3821 · Fax (888) 841-1312

Phone(573) 317-9279

Fax(888) 841-1312

Organization SubpartNo

Authorized OfficialMatt David WickhamOwner · (314) 276-1228

Enumeration DateMay 12, 2014

Last NPPES UpdateJuly 29, 2014

✔ NPI 1568873602 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 MO · TO3134

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.

94 CECIL ST, Camdenton, MO 65020

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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

Other Providers at the Same Location NPPES 8

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

WAL-MART STORES EAST LP

Pharmacy (Community/Retail Pharmacy)