Individual provider Active NPI

Ashley McKain Ott, O.D.

  • Optometrist
  • Robertsdale, AL
National Provider Identifier
1215290689
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-C88 Issued in AL
Practice address
21530 Professional Dr Ste D
Robertsdale, AL 36567-9911
Phone
(251) 973-6040
Fax
(251) 973-3140
NPI assigned
Jun 20, 2012
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-C88-TA-936 AL
Optometrist 152W00000X S-C88 AL Primary

Addresses

Primary practice location

21530 Professional Dr Ste D
Robertsdale, AL 36567-9911

Mailing address

21530 Professional Dr Ste D
Robertsdale, AL 36567-9911
Phone (251) 973-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20151106001307 AL Practitioner - Optometry 3476863275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashley Ott OD LLCGroup PAC ID 0042641243, 2 clinicians

Practice addresses (Care Compare)

21530 Professional Dr
Robertsdale, AL 36567-9911
Phone (251) 210-9087

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-C88ALMDOptometrist
S-C88-TA-936ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Ott OD LLC Optometrist CurrentSince Apr 27, 2020 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

21530 Professional Dr
Ste D
Robertsdale, AL 36567
Phone (251) 210-9087

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1215290689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21530 PROFESSIONAL DR STE D",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365679911",
            "telephone_number": "251-973-6040",
            "fax_number": "251-973-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 PROFESSIONAL DR STE D",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365679911",
            "telephone_number": "251-973-6040",
            "fax_number": "251-973-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "ASHLEY",
        "middle_name": "MCKAIN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C88-TA-936",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robertsdale, AL

Sources for this page

Verify at the official NPI Registry.