Lucas Trent Ott, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2701 Issued in AR

Practice address

53 Highway 70 E
Ste B
Glenwood, AR 71943-8853

Phone

(870) 356-4671

NPI assigned

Jun 26, 2014

Last updated

Mar 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 AR

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ott Eye Care PLLCGroup PAC ID 4981993912, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ott Eye Care, PLLC

  dba Glenwood Eye Care

  • Optometrist
  • Glenwood, AR
  • NPI 1396104113
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1265847362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719430680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 HIGHWAY 70 E",
            "address_2": "STE B",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719438853",
            "telephone_number": "870-356-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "LUCAS",
        "middle_name": "TRENT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Muldrow, MSN,APRN, PMHNP-BC
• Christina Myrkle, QBHP
• Chyann Napalapalai, QBHP
• Oak Park Village
• Ott Eye Care, PLLC (Glenwood Eye Care)
• Mandi Ott
• Ouachita Regional Counseling & Mental Health Center, Inc. (Ouachita Behavioral Health and Wellness)
• Lydia Palmer, QBHP
• Colton Patterson
• Phils Pharmacy Inc (Phils Eastside Pharmacy)

• Optometrist in Glenwood, AR
• Providers in Glenwood, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.