Individual provider Active NPI

Nathan Paul Otte, O.D.

  • Optometrist
  • Seymour, IN
National Provider Identifier
1790946499
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003519A Issued in IN
Practice address
314 S Chestnut St
Seymour, IN 47274-2330
Phone
(812) 271-1700
Fax
(812) 271-1345
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003519A IN Primary

Addresses

Primary practice location

314 S Chestnut St
Seymour, IN 47274-2330

Mailing address

8432 N County Road 400 E
Seymour, IN 47274-9121
Phone (812) 271-1700

Other identifiers 3

IdentifierTypeStateIssuer
IN3519OtherINEYEMED
201195980 AMedicaidIN
200911940MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20131203000104 IN Practitioner - Optometry 9830266428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

314 S Chestnut St
Seymour, IN 47274-2330
Phone (812) 271-1700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003519AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
See More Eye Care Inc Optometrist CurrentSince Oct 3, 2013 Accepting new patients
Indiana University CurrentSince Jan 1, 2014 Accepting new patients
Indiana University Optometrist Current Accepting new patients
Indiana University Optometrist CurrentSince Jan 1, 2014 Accepting new patients
Don R Downing J D Roberts & D Barry Downing PTRS Optometrist PastSince Mar 30, 2009 Accepting new patients

Locations

744 E 3rd St
Bloomington, IN 47405
Phone (812) 855-8436

314 S Chestnut St
Seymour, IN 47274
Phone (812) 271-1700

Interoperability endpoints

  • Direct secure messaging: drnate@direct.revolutionehr.com

Organizations & group practices 5

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1790946499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8432 N COUNTY ROAD 400 E",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472749121",
            "telephone_number": "812-271-1700",
            "fax_number": "812-271-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S CHESTNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742330",
            "telephone_number": "812-271-1700",
            "fax_number": "812-271-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTE",
        "first_name": "NATHAN",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003519A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IN3519",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201195980 A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200911940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.