Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Otis Optometry, LLC

Organization Optometrist · NPI 1568873602

Otis Optometry, LLC is an Optometrist in Camdenton, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

94 Cecil St
Camdenton, MO 65020-7057
Phone: (573) 317-9279
Fax: (888) 841-1312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TO3134 (MO)

Record details

NPI number1568873602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Wickham — Owner · (314) 276-1228
NPI enumeratedMay 12, 2014
Last updated in NPPESJuly 29, 2014
Mailing address1939 Wentzville Pkwy, Ste 166, Wentzville, MO 63385-3424

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