Active NPI
Karen Ottenheimer, OD
- Optometrist
- Homestead, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5776
- Practice address
- 151 NW 11TH St
Homestead, FL 33030-4360 - Phone
- (305) 248-4877
- NPI assigned
- Jul 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003174 | GA | |
| Optometrist | 152W00000X | OPC5776 | FL | Primary |
Addresses
Primary practice location
151 NW 11TH St
Homestead, FL 33030-4360
Mailing address
15275 SW 58TH St
Miami, FL 33193-2852
Other practice location 1
4595 Ashford Dunwoody Rd NE Ste B
Dunwoody, GA 30346-1527
Phone (470) 323-5111
Other practice location 2
15275 SW 58th St
Miami, FL 33193-2852
Phone (786) 683-5073
Other practice location 3
3295 S Cobb Dr SE # 200
Smyrna, GA 30080-4175
Phone (678) 241-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
948 N Krome Ave
Homestead, FL 33030-4718
Phone (305) 247-2331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Lynn O.D. & Associates, PC | Current | Accepting new patients | |
| Mark Lynn OD & Associates, PC | Optometrist | Current | Accepting new patients |
| Vision Doctors Group LLC | Optometrist | Current | Accepting new patients |
Locations
551 E 49th St
Hialeah, FL 33013
Phone (305) 221-4994
10181 Pines Blvd
Pembroke Pines, FL 33026
Phone (302) 823-3312
2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050
Interoperability endpoints
- karen.ottenheimer.p1@direct.caremax.nextgenshare.com
Organizations & group practices 4
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.
-
- Optometrist
- Homestead, FL
- NPI 1639367469
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1588487458
-
- Optometrist
- Lithonia, GA
- NPI 1417055203
-
- Eyewear Supplier
- Savannah, GA
- NPI 1518375500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1790337939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15275 SW 58TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 NW 11TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304360",
"telephone_number": "305-248-4877"
}
],
"practiceLocations": [
{
"address_1": "4595 Ashford Dunwoody Rd NE Ste B",
"address_purpose": "LOCATION",
"city": "Dunwoody",
"state": "GA",
"postal_code": "303461527",
"country_code": "US",
"telephone_number": "470-323-5111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15275 SW 58th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331932852",
"country_code": "US",
"telephone_number": "786-683-5073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3295 S Cobb Dr SE # 200",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300804175",
"country_code": "US",
"telephone_number": "678-241-2012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTENHEIMER",
"first_name": "KAREN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003174",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.