DR. GREGORY CHRIS OTTO (NPI# 1801979745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801979745 |
| Entity Type | Individual |
| Full Name | DR. GREGORY CHRIS OTTO |
| Credential | OD |
| Practice Address |
220 So Washington St Valley Vision Clinic Grand Forks ND 58201 |
| Mailing Address |
2200 So Washington St Grand Forks ND 58201 |
| Practice Telephone | 7017753135 |
| Practice Fax Number | 7017728161 |
| Mailing Telephone | 7017753135 |
| Mailing Fax Number | 7017728161 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 820 | NE | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 361 | ND | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VOCATIONAL REHAB CENTER | 60201 | 01 | |
| MEDICA | 2201971 | 01 | |
| ND | 60201 | 05 | |
| ND | ND DEPT OF HUMAN | 60081 | 01 |
| BLUE PLUS OF MINNESOTA | 92040OT | 01 | |
| BLUE SHIELD OF ND(VISION) | OTT8852 | 01 | |
| U CARE MN | 140692 | 01 | |
| MN COMPREHENSIVE CARE | 92040OT | 01 | |
| ND | BCBS | OTT8852 | 01 |
| BLUE SHIELD OF ND ALTRU | OTT8852 | 01 | |
| MN | BCBS | 92040OT | 01 |
| VISION SERVICES INC | OTT800361 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437654324 | Gregory N Otto | Physical Therapist | 420 W High St, Dowagiac, MI 49047-1943 | 2018-03-24 |
| 1043340797 | Gregory Alan Otto | Physician Assistant | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2007-03-06 |
| 1881780740 | Gregory Walter Otto | Social Worker | 619 S Marion Ave, Lake City, FL 32025-5808 | 2006-10-05 |
| Street Address |
220 SO WASHINGTON ST VALLEY VISION CLINIC |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972349 | Minnesota Optometric Eye Doctor, P.a. | Optometrist | 2650 32nd Ave S # Setf3, Grand Forks, ND 58201-6541 | 2020-08-14 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1134463565 | Advanced Eyecare | Optometrist | 7051 Farmstead Dr, Grand Forks, ND 58201-9101 | 2012-11-26 |
| 1013260850 | Erica L Wiegandt | Optometrist | 4440 South Washington Street, Grand Forks, ND 58201 | 2012-10-17 |
| 1124283148 | Jason Michael Schaff | Optometrist | 2200 S Washington St, Grand Forks, ND 58201-6346 | 2008-07-21 |
| 1518045921 | David Henry Biberdorf | Optometrist | 2200 So Washington St, Valley Vision Clinic, Grand Forks, ND 58201 | 2006-11-02 |
| 1992890586 | Melissa L Johnsen | Optometrist | 2800 S Columbia Rd Ste 81, Grand Forks, ND 58201-6013 | 2006-10-03 |
| 1912008335 | James A. Woodmansee | Optometrist | 3750 32nd Ave S, Suite 109, Grand Forks, ND 58201-5998 | 2006-09-26 |
| 1528034022 | Kari Torkelson | Optometrist | 2900 S Columbia Rd, Grand Forks, ND 58201-6070 | 2006-02-24 |
| 1811967706 | Sophia Nmi Swanson | Optometrist | 2800 S Columbia Rd, J.c. Penney Optical-columbia Mall, Grand Forks, ND 58201-6076 | 2006-01-24 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.