Individual
DAVID A OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5002 HIGHWAY 39 N, BUILDING B, MERIDIAN, MS 39301-1078
(601) 483-7331
Mailing address
14994 W MAIN ST BLDG B, LOUISVILLE, MS 39339-2616
(662) 773-3494
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
901
MS
Other
Enumeration date
07/17/2014
Last updated
04/12/2022
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