Individual
DR. ROGER A OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1444 KENNEDY DR, KEY WEST, FL 33040-4008
(305) 294-9711
(305) 294-2456
Mailing address
1444 KENNEDY DR, KEY WEST, FL 33040-4008
(305) 294-9711
(305) 294-2456
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1436
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4354230001
DMEC MEDICARE
FL
Enumeration date
05/09/2006
Last updated
12/11/2008
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