Individual provider Active NPI

Benjamin Otte, MD

  • Ophthalmology Physician
  • Jber, AK
National Provider Identifier
1548896319
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
225178 Issued in AK
Practice address
673 MDG
5955 Zeamer Avenue
Jber, AK 99506
Phone
(907) 580-1162
NPI assigned
Mar 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101273156 VA
Ophthalmology Physician 207W00000X 225178 AK Primary

Addresses

Primary practice location

673 MDG
5955 Zeamer Avenue
Jber, AK 99506

Mailing address

673 MDG
5955 Zeamer Avenue
Jber, AK 99506
Phone (907) 580-1162

Other practice location 1

4505 E Greenstreet Cir
Wasilla, AK 99654-8425
Phone (907) 376-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241116000013 TX Practitioner - Ophthalmology 4880128594 Reassigns benefits to 1 organization
I20250903004427 AK Practitioner - Ophthalmology 4880128594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolf Eye Center, Inc.Group PAC ID 7012032949, 8 clinicians

Practice addresses (Care Compare)

4505 E Green St Cir
Wasilla, AK 99654-8425
Phone (907) 376-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
225178AKMDOphthalmology Physician
0101273156VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Oct 1, 2024 Accepting new patients
Wolf Eye Center, Inc. Ophthalmology CurrentSince Oct 1, 2025 Accepting new patients
Alaska Center for the Blind and Visually Impaired PastSince Oct 1, 2025 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

3976 University Lake Dr
Ste 100
Anchorage, AK 99508
Phone (907) 729-8141

4505 E Greenstreet Cir
Wasilla, AK 99654
Phone (907) 248-7770

Interoperability endpoints

  • Direct secure messaging: botte@wolfeye.intellechartdirect.net

Organizations & group practices 3

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1548896319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 MDG",
            "address_2": "5955 ZEAMER AVENUE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 MDG",
            "address_2": "5955 ZEAMER AVENUE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-1162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 E Greenstreet Cir",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548425",
            "country_code": "US",
            "telephone_number": "907-376-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTE",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-12",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101273156",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "225178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jber, AK

Sources for this page

Verify at the official NPI Registry.