Elaine Oetomo
NPI 1235798174 · Optometrist · Glendale, AZ
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elaine Oetomo is a Optometrist provider in Glendale, AZ (NPI 1235798174).
Provider details
- NPI number
- 1235798174
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
- License
- OPT-002345 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
7 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$146 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 8404 E Shea Blvd # 105Scottsdale, AZ 85260-6658Phone: (480) 483-0711Fax: (480) 483-8535
Registry dates
- Enumerated
- 2019-06-12
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Frequently asked questions
- What is Elaine Oetomo's NPI number?
- Elaine Oetomo's National Provider Identifier (NPI) is 1235798174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elaine Oetomo's specialty?
- Elaine Oetomo is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Elaine Oetomo located?
- Elaine Oetomo's practice location on file with NPPES is 9340 W Northern Ave Ste 120, Glendale, AZ 85305-1148.
- What is Elaine Oetomo's phone number?
- The practice phone number listed in the NPPES registry for Elaine Oetomo is (602) 794-1608.
- Does Elaine Oetomo accept Medicare?
- Elaine Oetomo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elaine Oetomo's NPI active?
- Yes — Elaine Oetomo's NPI (1235798174) is active in the NPPES registry as of the last update on 2024-01-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.