Michael William Ottati Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11082TLG Issued in CA

Practice address

3700 Sunset LN
Suite 4
Antioch, CA 94509-6199

Phone

(925) 757-0450

Fax

(925) 757-0266

NPI assigned

Apr 4, 2008

Sex

Male

Sole proprietor

No

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 CA

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Michael W Ottati, Jr., O.D. Inc

  • Optometrist
  • Antioch, CA
  • NPI 1164406302
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1528231065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN",
            "address_2": "SUITE 4",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096199",
            "telephone_number": "925-757-0450",
            "fax_number": "925-757-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN",
            "address_2": "SUITE 4",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096199",
            "telephone_number": "925-757-0450",
            "fax_number": "925-757-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTATI",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11082TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Orr
• Andrea Ortiz
• Angie Ortiz
• Dennis M Osborne, DPM
• Dana Monique Otis, CAARR
• Our Friendly Logistics
• Kyle P. Owen, DO
• Michael Louis Owen, LCSW
• Ruth Owusu
• Breanna Oxford

• Optometrist in Antioch, CA
• Providers in Antioch, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.