Kenneth Alan Otto in Muskegon - Ophthalmology
Kenneth Alan Otto - NPI 1164403838
Kenneth Alan Otto is a Ophthalmology in Muskegon, Michigan. Kenneth Alan Otto practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Kenneth Alan Otto is 1164403838. The last update date is 2020-10-12.
Kenneth Alan Otto's current location address is 1266 E Sherman Blvd, Muskegon, Michigan. You can contact this provider via phone number 2317399009 and fax number 2317330566. The mailing address for Kenneth Alan Otto is 1266 E Sherman Blvd, Muskegon, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Alan Otto |
|---|---|
| Address | 1266 E Sherman Blvd, Muskegon, Michigan |
| Phone Number | 2317399009 |
| Fax Number | 2317330566 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164403838 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2020-10-12 |
Provider Mailing Address Detail
| Address | 1266 E Sherman Blvd |
|---|---|
| City | Muskegon |
| State | Michigan (MI) |
| Post Code | 494441847 |
| Phone Number | 2317399009 |
| Fax Number | 2317330566 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 4301403805 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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What is the unique 10-digit identifier code issued to Kenneth Alan Otto by the Centers for Medicare & Medicaid Services?
The Kenneth Alan Otto has been assigned the NPI (National Provider Identifier) 1164403838 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kenneth Alan Otto's facilities are geographically located?
The facilities of Kenneth Alan Otto are physically situated at the following location: 1266 E Sherman Blvd, Muskegon, MI, 494441847.
What is Kenneth Alan Otto's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Alan Otto's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date did the Kenneth Alan Otto receive the assignment of its 1164403838 from the Centers for Medicare & Medicaid Services?
The Kenneth Alan Otto was issued its 1164403838 by the Centers for Medicare & Medicaid Services on 2005-11-09.
As of what date were the Kenneth Alan Otto's details last updated?
The information pertaining to the Kenneth Alan Otto, including its address, specialty, and other details, was most recently updated on 2020-10-12.