Individual provider Active NPI

John Otto, OD

  • Optometrist
  • Newark, DE
National Provider Identifier
1992783716
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I30001181 Issued in DE
Practice address
200 Hygeia Dr
Newark, DE 19713-2049
Phone
(302) 623-0100
Fax
(302) 623-0147
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I30001181 DE Primary

Addresses

Primary practice location

200 Hygeia Dr
Newark, DE 19713-2049

Mailing address

PO Box 30170
Wilmington, DE 19805-7170
Phone (302) 623-7362

Other practice location 1

4102 Ogletown Stanton Rd Ste 1
Newark, DE 19713-4183
Phone (302) 454-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20050729000718 DE Practitioner - Optometry 1951339019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Eye Associates of Delaware, LLCGroup PAC ID 2062657174, 5 clinicians

Practice addresses (Care Compare)

4102 Ogletown Stanton Rd
Suite 1
Newark, DE 19713-4183
Phone (302) 454-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services, Inc Optometrist CurrentSince Jul 1, 2005 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2005 Accepting new patients
Surgical Eye Associates of Delaware, LLC Optometrist CurrentSince Sep 13, 2023 Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4102 Ogletown Stanton Rd
Ste 1
Newark, DE 19713
Phone (302) 454-8800

200 Hygeia Dr
Ste 2400
Newark, DE 19713
Phone (302) 623-0100

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Interoperability endpoints

  • Direct secure messaging: jottood@eyecareofdelaware.direct.eyemdemr.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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1992783716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30170",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198057170",
            "telephone_number": "302-623-7362",
            "fax_number": "302-623-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-623-0100",
            "fax_number": "302-623-0147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4102 Ogletown Stanton Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134183",
            "country_code": "US",
            "telephone_number": "302-454-8800",
            "fax_number": "302-454-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTO",
        "first_name": "JOHN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I30001181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.