Marc Peter Otto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0003006 Issued in CO

Practice address

10001 Commons St
Lone Tree, CO 80124-5547

Phone

(303) 209-1851

NPI assigned

Sep 11, 2013

Sex

Male

Sole proprietor

Yes

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 NJ

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

Pennsylvania College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Source of Mt Olive, LLCGroup PAC ID 1850544966, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Vision Source of Mt Olive LLC

  • Optometrist
  • Budd Lake, NJ
  • NPI 1063766202
  Medicare reassignment Care Compare group NPD
• Northwest Optometry Group, P.a.

  • Optometrist
  • Sparta, NJ
  • NPI 1801853254
  Medicare reassignment NPD
• Northwest Optometry Group, P.a.

  • Optometrist
  • Sparta, NJ
  • NPI 1770757379
  NPD

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1720413552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 TEJON ST",
            "address_2": "202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 COMMONS ST",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245547",
            "telephone_number": "303-209-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "MARC",
        "middle_name": "PETER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M Osborn, DDS
• Rebecca Osborne
• Heidi Jo Oster, M.D.
• Linnea Osterberg, DPT
• Ronald Brian Ott, PAC
• April Ouedraogo, M.A. EDS
• Outpatient Surgical Recovery Suites of Colorado
• Zach Overgaard, PT, DPT
• Pahs Onpoint Urgent Care LLC
• Karen Natalie Palmer, RNC

• Optometrist in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.