Mark Jay Witte, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1097 Issued in NE

Practice address

3044 S 84TH St Ste 1
Omaha, NE 68124-3208

Phone

(402) 391-1143

NPI assigned

Jun 5, 2006

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

Medicare fee-for-service enrollment

Enrolled in NE

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

Pennsylvania College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

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.

• Shoptikal LLC

  • Eyewear Supplier
  • Grand Island, NE
  • NPI 1952967325

  Optometrist

  Medicare reassignment Care Compare group NPD
• Advanced Vision Therapies LLC

  • Optometrist
  • Omaha, NE
  • NPI 1871053504
  NPD (past) Authorized official
• Shopko Stores Operating Co. LLC

  • Eyewear Supplier
  • Lincoln, NE
  • NPI 1396797544
  NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Norfolk, NE
  • NPI 1902462377

  Optometrist

  NPD
• Shopko Stores Operating Co. LLC

  • Eyewear Supplier
  • Albert Lea, MN
  • NPI 1528010642
  NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1699714964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 GLENWOOD CT",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257887",
            "telephone_number": "402-721-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 S 84TH ST STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243208",
            "telephone_number": "402-391-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTE",
        "first_name": "MARK",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae Ann Witt, M.D.
• Rebecca D Witt, PA-C
• Tatum Ronette Witt, CRNA
• Jason Lee Witte, EDS
• Luke Witte
• Meghan M Witte, PLMHP, PMSW
• Michael Robert Witte, DPT
• Noelle Witte
• Zachariah Luke Wittenberg, DO
• Sandra Witter

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.