Individual provider Active NPI

David A Otto

  • Optometrist
  • Meridian, MS
National Provider Identifier
1497162846
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
901 Issued in MS
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

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141002002096 MS Practitioner - Optometry 6002036621 Reassigns benefits to 1 organization

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
Ms Eye Care PAGroup PAC ID 3274814207, 17 clinicians

Practice addresses (Care Compare)

5002 Hwy 39 N
BLDG B
Meridian, MS 39301-1078
Phone (601) 483-7331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Eye Care, PA Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Ms Eye Care PA Optometrist CurrentSince Jan 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.