Leslie Alitz Wittmann, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2017017102 Issued in MO

Practice address

2320 S Main St
Maryville, MO 64468-3622

Phone

(660) 582-4022

NPI assigned

Jun 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Southern College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Insight Eyecare Specialties IncGroup PAC ID 1153371646, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.94 of 100Reported as group

Quality

73.89

Improvement activities

40

Procedures performed for Medicare patients

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.

• Insight Eyecare Specialties Inc.

  • Ophthalmology Physician
  • Kansas City, MO
  • NPI 1285728196

  Optometrist

  Medicare reassignment Care Compare group NPD
• Insight Eyecare Specialties Inc

  • Optometrist
  • Independence, MO
  • NPI 1952686255
  NPD
• Insight Eyecare Specialties Inc

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
  • NPI 1053015792

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1275062739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644683622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644683622",
            "telephone_number": "660-582-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMANN",
        "first_name": "LESLIE",
        "middle_name": "ALITZ",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2017017102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jane Watson, MD
• Myra Webster, COTA
• Kristi Renee White, L.C.S.W.
• Gerald W Wilmes, MD
• Hayston W Wilson
• Logan Michael Wood, ATC, LAT
• Michael J Wurm, MD
• Erin Elizabeth York, ATC, LAT
• Younger Group Home, Inc
• Younger Group Home, Inc.

• Optometrist in Maryville, MO
• Providers in Maryville, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.