Individual provider Active NPI

Katherine Jennifer Witmeyer, O.D.

  • Optometrist
  • Rancho Santa Fe, CA
National Provider Identifier
1063499176
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT12416 Issued in CA
Practice address
6037 La Granada, Ste F
PMB 2644
Rancho Santa Fe, CA 92067-2644
Phone
(858) 381-3123
Fax
(858) 381-3414
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT12416 CA Primary

Addresses

Primary practice location

6037 La Granada, Ste F
PMB 2644
Rancho Santa Fe, CA 92067-2644

Mailing address

PO Box 2644
Rancho Santa Fe, CA 92067-2644
Phone (858) 381-3123

Other practice location 1

6037 La Granada
Suite A
Rancho Santa Fe, CA 92067
Phone (858) 756-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040809001413 CA Practitioner - Optometry 9335111491 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Rancho Santa Fe Optometry ApcGroup PAC ID 9537167655, 2 clinicians

Practice addresses (Care Compare)

6037 La Granada
Suite a
Rancho Santa Fe, CA 92067-0275
Phone (858) 756-3210

6037 La Granada
Suite F
Rancho Santa Fe, CA 92067-2644
Phone (858) 381-3123

PO Box
Suite 2644
Rancho Santa Fe, CA 92067-2644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT12416CAMDOptometrist
12416CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Santa Fe Optometry Apc Optometrist CurrentSince Jul 15, 2024 Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince May 14, 2023 Accepting new patients
Katherine Witmeyer, OD, a Professional Optometric Corporation Optometrist CurrentSince Sep 16, 2025 Accepting new patients
Fourth Optometric Care of California Optometrist Current Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince May 14, 2023 Accepting new patients

Locations

2653 Gateway Rd
Ste 101
Carlsbad, CA 92009
Phone (760) 476-1921

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 5

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1063499176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2644",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920672644",
            "telephone_number": "858-381-3123",
            "fax_number": "858-381-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 LA GRANADA, STE F",
            "address_2": "PMB 2644",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920672644",
            "telephone_number": "858-381-3123",
            "fax_number": "858-381-3414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6037 La Granada",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Fe",
            "state": "CA",
            "postal_code": "92067",
            "country_code": "US",
            "telephone_number": "858-756-3210",
            "fax_number": "858-756-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITMEYER",
        "first_name": "KATHERINE",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Fe, CA

Sources for this page

Verify at the official NPI Registry.