Active NPI
Elaine Witten, O.D.
- Optometrist
- Naples, FL
National Provider Identifier
1841314242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 001705
- Practice address
- 60 10TH St N
Naples, FL 34102-6217 - Phone
- (239) 261-7071
- Fax
- (239) 263-0807
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 001705 | FL | Primary |
Addresses
Primary practice location
60 10TH St N
Naples, FL 34102-6217
Mailing address
60 10TH St N
Naples, FL 34102-6217
Phone (239) 261-7071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000219700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071204000277 | FL | Practitioner - Optometry | 7719076439 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 001705 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1841314242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 10TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341026217",
"telephone_number": "239-261-7071",
"fax_number": "239-263-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 10TH ST N",
"city": "NAPLES",
"state": "FL",
"postal_code": "341026217",
"telephone_number": "239-261-7071",
"fax_number": "239-263-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTEN",
"first_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 001705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000219700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.