Jonathan L Ottino, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009536 Issued in IL

Legal business name

JONATHAN L OTTINO, O.D., P.C.

Practice address

1100 Lejune Dr
Springfield, IL 62703-4537

Phone

(224) 558-6357

NPI assigned

Aug 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan L Ottino, O.D.

Title

Ceo

Phone

(224) 558-6357

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1467685180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 N GRAND AVE E TRLR 259",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627028505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LEJUNE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034537",
            "telephone_number": "224-558-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN L OTTINO, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "OTTINO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "224-558-6357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Johnston, DO
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• Matthew Johnston, M.D.
• Thomas Johnston, MD
• Syquerria Joiner
• Emily Jones Robson, CRNA
• Alanna Jones
• Angelica Jones
• Breck A Jones, M.D.
• Brian W Jones, CRNA

• Optometrist in Springfield, IL
• Providers in Springfield, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.