OTIS OPTOMETRY, LLC – NPI #1568873602
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Health Care Provider Taxonomy Code for Optometrist

OTIS OPTOMETRY, LLC is an optometrist located in CAMDENTON, MO. NPPES has assigned the NPI number 1568873602 to OTIS OPTOMETRY, LLC on May 12, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 152W00000X from the Health Care Provider Taxonomy code set, which is classified as Optometrist.

The NPI profile was previously updated about 12 years ago on Jul 29, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OTIS OPTOMETRY, LLC below.

NPI Profile for
OTIS OPTOMETRY, LLC

NPI Number
1568873602
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OTIS OPTOMETRY, LLC
Primary location
94 CECIL ST
CAMDENTON, MO 65020-7057
Phone: (573) 317-9279 Fax: (888) 841-1312
Mailing address
1939 WENTZVILLE PKWY
STE 166
WENTZVILLE, MO 63385-3424
Phone: (636) 812-3821 Fax: (888) 841-1312
Organization Subpart
No
Authorized Official
MATT WICKHAM
OWNER
Phone: (314) 276-1228
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152W00000X
- Optometrist (Primary)		 MO TO3134

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.