OrganizationActive
Otis Optometry, LLC
NPI 1568873602 · Optometrist · Camdenton, MO
Otis Optometry, LLC is a Optometrist organization in Camdenton, MO (NPI 1568873602).
Provider details
- NPI number
- 1568873602
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Matt Wickham, Owner(314) 276-1228
- License
- TO3134 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
94 Cecil St
Camdenton, MO 65020-7057
Phone: (573) 317-9279
Fax: (888) 841-1312
Street-level locationGet directions
Mailing address
1939 Wentzville Pkwy
Wentzville, MO 63385-3424
Registry dates
- Enumerated
- 2014-05-12
- Last updated
- 2014-07-29
Frequently asked questions
- What is Otis Optometry, LLC's NPI number?
- Otis Optometry, LLC's National Provider Identifier (NPI) is 1568873602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Otis Optometry, LLC?
- Otis Optometry, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Otis Optometry, LLC located?
- Otis Optometry, LLC's practice location on file with NPPES is 94 Cecil St, Camdenton, MO 65020-7057.
- What is Otis Optometry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Otis Optometry, LLC is (573) 317-9279.
- Who is the authorized official for Otis Optometry, LLC?
- The authorized official listed on Otis Optometry, LLC's NPPES record is Matt Wickham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Otis Optometry, LLC's NPI active?
- Yes — Otis Optometry, LLC's NPI (1568873602) is active in the NPPES registry as of the last update on 2014-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.