Thomas Woytta Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002400 Issued in MI

Legal business name

THOMAS WOYTTA INC.

Practice address

1100 Michigan Ave
Marysville, MI 48040-2112

Phone

(810) 364-1334

Fax

(810) 364-1075

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Woytta, O.D.NPI 1124143987

Title

President

Phone

(810) 364-1334

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TOTAL VISION CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Woytta, O.D.

  • Optometrist
  • Marysville, MI
  • NPI 1124143987
  Medicare reassignment NPD Authorized official
• Arlene Dawn Barton, O.D.

  • Optometrist
  • New Baltimore, MI
  • NPI 1952442964
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1942292289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402112",
            "telephone_number": "810-364-1334",
            "fax_number": "810-364-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MICHIGAN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402112",
            "telephone_number": "810-364-1334",
            "fax_number": "810-364-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS WOYTTA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "WOYTTA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-364-1334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3462930",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTAL VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael David Teolis, EMT-P
• Michelle Jeanne Terese
• The Hummingbird Group of Michigan
• The Relational Space LLC
• Marie D Thielman
• Jazmyn R Thomas
• Kourtney Thomas
• Laura Thomas
• Stacy Lynn Thomas
• David W Thompson

• Optometrist in Marysville, MI
• Providers in Marysville, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.