Paul Edward Wittke, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD008101 Issued in TN

Practice address

1798 Roane State Hwy
Harriman, TN 37748-8305

Phone

(865) 882-7470

Fax

(865) 882-8933

NPI assigned

Jul 26, 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pwittke@tneyecare.intellechartdirect.net

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.

• Knoxville Eye Care Center

  • Optometrist
  • Knoxville, TN
  • NPI 1508586256
  Medicare reassignment NPD
• VRF Eye Specialty Group, PLC

  • Ophthalmology Physician
  • Memphis, TN
  • NPI 1699729806
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1699798090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 ROANE STATE HWY",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488305",
            "telephone_number": "865-882-7470",
            "fax_number": "865-882-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1798 ROANE STATE HWY",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488305",
            "telephone_number": "865-882-7470",
            "fax_number": "865-882-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTKE",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD008101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4060532",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pwittke@tneyecare.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1798 Roane State Hwy",
            "city": "Harriman",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377488305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Renee Williams, RN
• Robert Joseph Wilson, M.D.
• Timothy Marvin Wilson, PHARMD
• Julie Annmarie Winsor, RN
• Melissa L Winton, FNP-C
• Spenser Wolken, M.D.
• Amy Wood
• Jessica Woodell, PHD
• Jade Marie Woody, PTA

• Ophthalmology Physician in Harriman, TN
• Providers in Harriman, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.