Cynthia Rosaline Witt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8157-T Issued in TX

Practice address

6014 Azle Avenue
Suite 300
Lake Worth, TX 76135

Phone

(817) 741-6828

NPI assigned

Jun 27, 2011

Last updated

Mar 22, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1457647570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WESTCREEK DR",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760203777",
            "telephone_number": "407-952-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 AZLE AVENUE",
            "address_2": "SUITE 300",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "76135",
            "telephone_number": "817-741-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "CYNTHIA",
        "middle_name": "ROSALINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8157-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #04189)
• Jarrod Matthew Ward
• Amanda Williams
• K'Iara Charmaine Williams, ATC
• Tyler Lynn Gromann Wilson, PT, DPT
• Anne Wood
• Wayne W Yee, MD
• Matthew Ryan Young, RN, ADN

• Optometrist in Lake Worth, TX
• Providers in Lake Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.