Michael W Ottati, Jr., O.D. Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11082TLG Issued in CA

Legal business name

MICHAEL W OTTATI, JR., O.D. INC

Doing business as

Diablo Valley Optometric Group

Practice address

3700 Sunset LN
Suite 4
Antioch, CA 94509-6199

Phone

(925) 757-0450

Fax

(925) 757-0266

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Michael William Ottati Jr., ODNPI 1528231065

Title

President

Phone

(925) 757-0450

Specialties & licenses 1

Addresses

Other names 1

• Diablo Valley Optometric Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael William Ottati Jr., O.D.

  • Optometrist
  • Antioch, CA
  • NPI 1528231065
  Medicare reassignment Authorized official
• Valerie Anuli Okakpu, OD

  • Optometrist
  • Antioch, CA
  • NPI 1225701733
  Medicare reassignment NPD
• Sanaz Stacy Aboutalebi-Simon, O.D.

  • Corneal and Contact Management Optometrist
  • Antioch, CA
  • NPI 1033319215
  NPD (past)
• Robert Yiu-Tsang Cheung, O.D.

  • Optometrist
  • Walnut Creek, CA
  • NPI 1649251232
  NPD (past)
• Van Hoang Pham, O.D.

  • Optometrist
  • Walnut Creek, CA
  • NPI 1558598946
  NPD (past)
• Peter S. Visendi, O.D.

  • Optometrist
  • Danville, CA
  • NPI 1518029693
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1164406302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN",
            "address_2": "SUITE 4",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096199",
            "telephone_number": "925-757-0450",
            "fax_number": "925-757-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN",
            "address_2": "SUITE 4",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096199",
            "telephone_number": "925-757-0450",
            "fax_number": "925-757-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W OTTATI, JR., O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "OTTATI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-757-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11082TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diablo Valley Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mirna Merhi Boghossian
• Kayla Lanae Merritt
• Thomas C Messner, CAS
• Kyley Ann Mettier
• Dave Metts
• Manjula Michaelson
• Robert J Michaud, D.D.S.,M.S.
• Lisa Maire Michel
• Charlie Middleton
• Anthony Lee Miles Jr.

• Optometrist in Antioch, CA
• Providers in Antioch, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.