DR. KENNETH ALAN OTTO JR. (NPI# 1164403838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164403838 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ALAN OTTO JR. |
| Credential | MD |
| Practice Address |
1266 E Sherman Blvd Muskegon MI 49444-1847 |
| Practice Telephone | 2317399009 |
| Practice Fax Number | 2317330566 |
| Mailing Telephone | 2317399009 |
| Mailing Fax Number | 2317330566 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301403805 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770647521 | Kenneth Lee Otto | Chiropractor | 308 E Northland Ave, Appleton, WI 54911-2163 | 2006-12-19 |
| Street Address |
1266 E SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787508 | Jessica Wilson | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2020-10-14 |
| 1972808921 | Shoreline Optical, LLC | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2011-01-24 |
| 1033448394 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2009-12-16 |
| 1306066634 | Nathan Paul Reed | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2007-04-27 |
| 1679643670 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| 1306916317 | Shoreline Ophthalmology, PC | Durable Medical Equipment & Medical Supplies | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| 1114097359 | Shoreline Optical, LLC | Durable Medical Equipment & Medical Supplies | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| 1174545487 | Joshua David Metzger | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-07-24 |
| 1861439416 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-06-01 |
| 1366420168 | Todd James Riker | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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 includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285617613 | Leeann Salot Webster | Ophthalmology | 1266 East Sherman Blvd, Muskegon, MI 49444 | 2005-11-21 |
| 1831442094 | West Michigan Eye & Laser | Ophthalmology | 1150 E Sherman Blvd, Suite 1500, Muskegon, MI 49444-1871 | 2012-10-24 |
| 1033448394 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2009-12-16 |
| 1306066634 | Nathan Paul Reed | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2007-04-27 |
| 1679643670 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| 1912083759 | West Michigan Ophthalmology, PC | Ophthalmology | 1150 E Sherman Blvd, Suite 1500, Muskegon, MI 49444-1871 | 2006-10-27 |
| 1265544969 | David Alan Goran | Ophthalmology | 1150 E Sherman Blvd, Ste 1500, Muskegon, MI 49444-1871 | 2006-08-31 |
| 1861439416 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-06-01 |
| 1689658403 | John Nicholas Oltean | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2005-12-05 |
| 1114908423 | Mark Stephen Kinziger | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2005-11-14 |
| Find all providers in MUSKEGON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.