Individual provider Active NPI

Karen Ottenheimer, OD

  • Optometrist
  • Homestead, FL
National Provider Identifier
1790337939
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5776 Issued in FL
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

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200401003476 GA Practitioner - Optometry 2860821428 Reassigns benefits to 1 organization
I20200521002210 FL Practitioner - Optometry 2860821428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Furnari and Lofton General PartnershipGroup PAC ID 3072650332, 6 clinicians

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

OrganizationSpecialtyStatusNew patients
Mark Lynn O.D. & Associates, PC CurrentSince Jan 7, 2020 Accepting new patients
Mark Lynn OD & Associates, PC Optometrist CurrentSince Jan 7, 2020 Accepting new patients
Vision Doctors Group LLC Optometrist CurrentSince Aug 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.