MARY ELLEN WITTENDORF OD
NPI 1760008726
Optometrist in Mishawaka, IN

Q: What is Mary Wittendorf's NPI number?

The NPI number for Mary Wittendorf is 1760008726. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Q: What is Mary Wittendorf's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Wittendorf was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2020

1540 TRINITY PL, MISHAWAKA, IN 46545(574) 272-9000(574) 272-9010 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2023, Nov 28, 2022, Jun 24, 2020 (3 updates tracked since 2020).

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About Mary Ellen Wittendorf Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLEN WITTENDORF OD (NPI 1760008726) is an individual optometrist in Mishawaka, Indiana, licensed in Michigan (4901005437) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1760008726

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMARY ELLEN WITTENDORFCredential: OD

Location Address1540 TRINITY PLMishawaka, IN 46545-5006

Mailing Address1540 Trinity PlMishawaka, IN 46545-5006 · (574) 272-9000 · Fax (574) 272-9153

Phone(574) 272-9000

Fax(574) 272-9010

Sole ProprietorNo

Enumeration DateJune 24, 2020

Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration

NPPES CertifiedJuly 3, 2023

✔ NPI 1760008726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4901005437

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1540 TRINITY PL, Mishawaka, IN 46545

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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