Otis Optometry, LLC

Otis Optometry, LLC is a healthcare organization registered as Optometrist in Camdenton, MO, holding Type 2 (organization) NPI 1568873602 since 2014. The authorized official on file is Matt Wickham, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1568873602
Entity type	Organization (Type 2)
Legal business name	Otis Optometry, LLC
Practice address	94 CECIL ST, Camdenton, MO, 65020
Phone	5733179279
Fax	8888411312
Enumeration date	2014-05-12
Last updated in NPPES	2014-07-29

Authorized official

Name	Matt Wickham
Title	Owner
Phone	3142761228

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	TO3134	MO

Copy-ready billing details

Provider: Otis Optometry, LLC
NPI: 1568873602
Taxonomy: 152W00000X (Optometrist)
Address: 94 CECIL ST, Camdenton, MO, 65020

Providers at this address

NPI	Name	Type	Specialty	Location
1548232481	Matthew Bowman	Individual	Optometrist	Camdenton, MO
1063439487	Wal-Mart Stores East Lp	Organization	Community/Retail Pharmacy	Camdenton, MO
1205917002	Wal-Mart Stores East, Lp	Organization	Eyewear Supplier	Camdenton, MO
1720212418	Turner Optometric Services, LLC	Organization	Optometrist	Camdenton, MO
1184224628	Bertram Hessler	Individual	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	Camdenton, MO
1336892025	Charles Bruce	Individual	Pharmacist	Camdenton, MO
1831870484	April Adkins	Individual	Pharmacist	Camdenton, MO
1952129736	Matthew Bowman LLC	Organization	Optometrist	Camdenton, MO

Verify this record

Cross-check NPI 1568873602 against the authoritative CMS record: view Otis Optometry, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Otis Optometry, LLC located?

The practice location on file with NPPES is in Camdenton, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-07-29. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-07-29.