Nancy Ellen Otte, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001837B Issued in IN

Practice address

501 Clay St
Jasper, IN 47546-3125

Phone

(812) 482-6010

Fax

(812) 634-6620

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

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.

• Clay Street Eyecare P.C.

  • Optometrist
  • Jasper, IN
  • NPI 1952337008
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2007.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1962431239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CLAY ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463125",
            "telephone_number": "812-482-6010",
            "fax_number": "812-634-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CLAY ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463125",
            "telephone_number": "812-482-6010",
            "fax_number": "812-634-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTE",
        "first_name": "NANCY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001837B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajaie A Obaid, M.D.
• Jennifer Obermeier, OTR
• Sarah J Obermeier
• Jo Ellen Obermeyer, OTR
• Logan Orr, DPM
• Terri Owens, ED.S.
• Pain Management Center of Southern Indiana
• Sandra Gail Pankey, LMHCA
• Brogan Parker, PT, DPT
• Rhonda Faye Parks, LMHC

• All providers in Jasper, IN
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.