Organization Active NPI

Mercer in-Sight LLC

  • Optometrist
  • Celina, OH
National Provider Identifier
1245528090
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MERCER IN-SIGHT LLC
Practice address
706 E Wayne St
Celina, OH 45822-1380
Phone
(419) 586-2909
Fax
(419) 586-8127
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Dr. Chad Albert Otte, ODNPI 1336437417
Title
Owner
Phone
(419) 586-2909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

706 E Wayne St
Celina, OH 45822-1380

Mailing address

PO Box 629
Celina, OH 45822-0629
Phone (419) 586-2909

Other identifiers 1

IdentifierTypeStateIssuer
0053275MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110817000668 OH Part B Supplier - Clinic/Group Practice 8921277450 Receives reassigned benefits from 6 practitioners
Practice locations: Van Wert, OH; Celina, OH; Sidney, OH; Anna, OH; Piqua, OH
O20110825000134 OH DME Supplier - Physician - Optometrist 8921277450 Practice locations: Celina, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mercer in Sight LLC706 E Wayne St, Celina, OH 45822-1380(419) 586-2909 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jun 24, 2011

National Provider Directory

National Provider Directory

Locations

515 E Main St
Ste B
Anna, OH 45302
Phone (937) 639-2909

706 E Wayne St
Celina, OH 45822
Phone (419) 586-2909

706 E Wayne St
Ste B
Celina, OH 45822

594 N Vandemark Rd
Sidney, OH 45365
Phone (937) 492-1990

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1245528090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458220629",
            "telephone_number": "419-586-2909",
            "fax_number": "419-586-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E WAYNE ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221380",
            "telephone_number": "419-586-2909",
            "fax_number": "419-586-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER IN-SIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "OTTE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-586-2909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053275",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.