KAREN OTTENHEIMER (OD) – Optometrist, NPI 1790337939
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KAREN OTTENHEIMER (OD)
South Cobb Drive, Smyrna, Cobb County, Georgia, 30369, United States
SMYRNA, GA 300804175
Phone: (678) 241-2012
Type: Location
218, Summer Drive, Sandy Springs, Fulton County, Georgia, 30328, United States
SANDY SPRINGS, GA 303286015
Phone:
Type: Mailing
4595 Ashford Dunwoody Rd NE Ste B
Dunwoody, GA 303461527
Phone: (470) 323-5111
Type: Location
15275 SW 58th St
Miami, FL 331932852
Phone: (786) 683-5073
Type: Location
3295 S Cobb Dr SE # 200
Smyrna, GA 300804175
Phone: (678) 241-2012
Type: Location
15275 SW 58TH ST
MIAMI, FL 331932852
Phone:
Type: Mailing
151 NW 11TH ST
HOMESTEAD, FL 330304360
Phone: (305) 248-4877
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-05-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200401003476 | I | Optometry | GA | TBD |
| I20200521002210 | I | Optometry | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30080)
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Group practice members
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