Madison Jo Witthoft, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011977 Issued in IL

Practice address

1934 Walnut St
Murphysboro, IL 62966-1910

Phone

(618) 565-1406

Fax

(618) 684-8641

NPI assigned

Jun 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Marion Eye Centers LTDGroup PAC ID 3072426774, 38 clinicians

Insights Optical, Inc.Group PAC ID 7113081258, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Marion Eye Centers LTD.

  • Ophthalmology Physician
  • Marion, IL
  • NPI 1508865643

  Optometrist

  Medicare reassignment Care Compare group NPD
• Insights Optical, Inc.

  • Optometrist
  • Bloomington, IN
  • NPI 1730204785
  Medicare reassignment Care Compare group
• Marion Eye Centers LTD.

  • Durable Medical Equipment & Medical Supplies
  • Sparta, IL
  • NPI 1982894465

  Optometrist

  NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1144890914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629660038",
            "telephone_number": "618-993-5686",
            "fax_number": "618-993-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 WALNUT ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629661910",
            "telephone_number": "618-565-1406",
            "fax_number": "618-684-8641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Beadle Dr",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011054",
            "country_code": "US",
            "telephone_number": "618-549-2282",
            "fax_number": "618-549-6017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Van Zant St",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "IL",
            "postal_code": "622331020",
            "country_code": "US",
            "telephone_number": "618-826-5413",
            "fax_number": "618-826-5414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Du Quoin",
            "state": "IL",
            "postal_code": "628321909",
            "country_code": "US",
            "telephone_number": "618-542-3812",
            "fax_number": "618-542-3953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Walnut St",
            "address_purpose": "LOCATION",
            "city": "Pinckneyville",
            "state": "IL",
            "postal_code": "622741344",
            "country_code": "US",
            "telephone_number": "618-357-2020",
            "fax_number": "618-357-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTHOFT",
        "first_name": "MADISON",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011977",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004276A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Willgoose, L.C.P.C.
• Clare T Williams, MD
• Sonya Willis Baquedano, LCSW
• Courtney Wills
• Dylan C Witthoft, DC
• Karli Wright
• Cynthia L York-Camden, MS, RD, LDN
• Mary Zimmer, NURSE PRACTITIONER

• Optometrist in Murphysboro, IL
• Providers in Murphysboro, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.