Dillon Ott, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

946 Issued in MS

Practice address

1113 Central Ave E
Wiggins, MS 39577-9605

Phone

(601) 928-3914

Fax

(601) 928-2207

NPI assigned

Jul 15, 2016

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• MS PPO
• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• MS PPO C-SNP
• MS PPO D-SNP
• AL HMO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• TN PPO

Interoperability endpoints

• Direct secure messaging: dillon.ott@uprisedirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Eye Care, PLLC

  • Optometrist
  • Aberdeen, MS
  • NPI 1497371306
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1013360957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779605",
            "telephone_number": "601-928-3914",
            "fax_number": "601-928-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779605",
            "telephone_number": "601-928-3914",
            "fax_number": "601-928-2207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 W Commerce St",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "MS",
            "postal_code": "397302337",
            "country_code": "US",
            "telephone_number": "662-205-5899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTT",
        "first_name": "DILLON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autrionne D Monroe
• Lycel Parmosa Nall, FNP-BC
• Brooke Naramore, LPTA
• Carly Anne Nichols, OTD OTR/L
• Amber Williamson Norris, DO
• Erica R Palmer
• Leslie Parker
• Rebekah Parker, D.C.
• Robert K Partrige, MD
• Personal Care Home of Wiggins

• Optometrist in Wiggins, MS
• Providers in Wiggins, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.