Thomas Woytta, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002400 Issued in MI

Practice address

1100 Michigan Ave
Marysville, MI 48040-2112

Phone

(810) 364-1334

Fax

(810) 364-1075

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Four Towers Investment Inc.Group PAC ID 8527139443, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Four Towers Investment Inc.

  • Optometrist
  • New Baltimore, MI
  • NPI 1992976823
  Medicare reassignment Care Compare group NPD Authorized official
• Thomas Woytta Inc.

  • Optometrist
  • Marysville, MI
  • NPI 1942292289
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1124143987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402112",
            "telephone_number": "810-364-1334",
            "fax_number": "810-364-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402112",
            "telephone_number": "810-364-1334",
            "fax_number": "810-364-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOYTTA",
        "first_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3462930",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Wisdom
• Cody Wiseheart
• Jodie Lynn Wisner
• Jacquelyn Wisniewski
• Jennifer Marie Wojcik
• Dina M Wurmlinger
• Carlee Elizabeth Young
• Kaitlyn Young
• Francis Yousif
• Jill Ziehm

• Optometrist in Marysville, MI
• Providers in Marysville, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.