Individual provider Active NPI

Cathy Y Wittman, OD

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1023119369
Registry record updated Dec 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5519TG Issued in TX
Practice address
10619 Quaker Ave
Lubbock, TX 79424-8309
Phone
(806) 796-5816
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 5519TG TX
Vision Therapy Optometrist 152WV0400X 5519TG TX
Optometrist 152W00000X 5519TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 5519TG TX
Low Vision Rehabilitation Optometrist 152WL0500X 5519TG TX

Addresses

Primary practice location

10619 Quaker Ave
Lubbock, TX 79424-8309

Mailing address

10619 Quaker Ave
Lubbock, TX 79424-8309
Phone (806) 796-5816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070126000336 TX Practitioner - Optometry 6507867926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10619 Quaker Ave
Lubbock, TX 79424-8309
Phone (806) 796-5816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5519TGTXMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
C M Davis OD PLLC Optometrist Past Accepting new patients
Ginter Eyecare Center Inc. Optometrist PastSince Apr 12, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544832000000",
    "number": "1023119369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10619 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248309",
            "telephone_number": "806-796-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10619 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248309",
            "telephone_number": "806-796-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMAN",
        "first_name": "CATHY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "5519TG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "5519TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5519TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5519TG",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "5519TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.