Active NPI
David A Otto
- Optometrist
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 901
- Practice address
- 5002 Highway 39 N
Building B
Meridian, MS 39301-1078 - Phone
- (601) 483-7331
- NPI assigned
- Jul 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 901 | MS | Primary |
Addresses
Primary practice location
5002 Highway 39 N
Building B
Meridian, MS 39301-1078
Mailing address
14994 W Main St BLDG B
Louisville, MS 39339-2616
Phone (662) 773-3494
Other practice location 1
3027 Jefferson St
Macon, MS 39341-2275
Phone (662) 726-6111
Other practice location 2
2684 Highway 15
Bay Springs, MS 39422-7429
Phone (601) 764-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5002 Hwy 39 N
BLDG B
Meridian, MS 39301-1078
Phone (601) 483-7331
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ms Eye Care, PA | Optometrist | Current | Accepting new patients |
| Ms Eye Care PA | Optometrist | Current | Accepting new patients |
Locations
2684 Highway 15
Bay Springs, MS 39422
Phone (601) 764-2120
14994 W Main St
Bldg B
Louisville, MS 39339
14994 W Main St
Louisville, MS 39339
Phone (662) 446-9000
3027 Jefferson St
Macon, MS 39341
Phone (662) 726-6111
5002 Highway 39 N
Bldg B
Meridian, MS 39301
Phone (601) 483-7331
300 Pine St
Taylorsville, MS 39168
Phone (601) 452-5100
Interoperability endpoints
- dotto@mseyecare.eyefinity-direct.com
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 and National Provider Directory roles.
-
- Optometrist
- Meridian, MS
- NPI 1639530454
-
- Optometrist
- Eupora, MS
- NPI 1356238943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1497162846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14994 W MAIN ST BLDG B",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393392616",
"telephone_number": "662-773-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 HIGHWAY 39 N",
"address_2": "BUILDING B",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393011078",
"telephone_number": "601-483-7331"
}
],
"practiceLocations": [
{
"address_1": "3027 Jefferson St",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "MS",
"postal_code": "393412275",
"country_code": "US",
"telephone_number": "662-726-6111",
"fax_number": "662-726-6110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2684 Highway 15",
"address_purpose": "LOCATION",
"city": "Bay Springs",
"state": "MS",
"postal_code": "394227429",
"country_code": "US",
"telephone_number": "601-764-2120",
"fax_number": "601-764-3410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTO",
"first_name": "DAVID",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.