Dennis E. Ottemiller, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD60903092 Issued in WA

Practice address

20669 Bond Rd NE Ste 100
Poulsbo, WA 98370-6525

Phone

(360) 779-2020

Fax

(360) 779-3093

NPI assigned

Aug 2, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Specialty

Ophthalmology

Education

University of Alabama School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Eyecare of Poulsbo PSGroup PAC ID 6709773807, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.49 of 100Reported as group

Quality

96.94

Promoting interoperability

100

Improvement activities

40

Cost

74.7

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Eye Care of Poulsbo PS

  • Ophthalmology Physician
  • Poulsbo, WA
  • NPI 1205825262
  Medicare reassignment Care Compare group NPD
• Pacific Eyecare of Poulsbo PS

  dba Pacific Optical

  • Eyewear Supplier
  • PT Townsend, WA
  • NPI 1649269242
  NPD
• Bay Optical Laboratory Corp.

  • Eyewear Supplier
  • North Bend, OR
  • NPI 1407898026
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649271487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20669 BOND RD NE",
            "address_2": "STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706525",
            "telephone_number": "541-756-2584",
            "fax_number": "541-756-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20669 BOND RD NE STE 100",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706525",
            "telephone_number": "360-779-2020",
            "fax_number": "360-779-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEMILLER",
        "first_name": "DENNIS",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD17921",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60903092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C70299",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olympic Radiology LLC
• David JC Omorchoe, MD
• Naomi Whitney Orong, LMT
• Jennifer Osborn, OTA
• Lauren Elizabeth Osborne, MA, LMHC-A, ATR-P
• Pacific Eye Care of Poulsbo PS
• Pacific Eyecare of Poulisbo PS (Pacific Optical)
• Pacific Eyecare of Poulsbo PS
• Pacific Eyecare of Poulsbo PS (Pacific EyeCare and Hearing Center)
• Pacific Medical Imaging Consultants, Inc

• Ophthalmology Physician in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.