THOMAS WOYTTA (O.D.) – Optometrist, NPI 1124143987

THOMAS WOYTTA (O.D.) is a healthcare provider. based in Marysville, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901002400 (MI). The NPI Number for THOMAS WOYTTA (O.D.) is 1124143987

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS WOYTTA (O.D.)
NPI
1124143987
Phone
(810) 364-1334
Address
1100 MICHIGAN AVE
Enumeration Date
20 March 2007
Last Update Date
28 December 2009

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
5867169101
Graduation Year
1973 (53 years ago)
PAC ID
7012009194
Group Practice PAC ID
8527139443
Professional Enrollment ID
I20070821000227
Address ID
MI480473601NE35445RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for THOMAS WOYTTA (O.D.)

  • 1100 MICHIGAN AVE

    MARYSVILLE, MI 480402112

    Phone: (810) 364-1334

    Fax: (810) 364-1075

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-05-12 • Largest payer in this snapshot: CooperVision Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070821000227IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527139443View full group profile
NameSpecialtyState
O P T O M E T R YMI

Reviews

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Frequently asked questions

What number should I use to identify THOMAS WOYTTA (O.D.) for billing?
Administrative and clinical systems typically use NPI 1124143987 for THOMAS WOYTTA (O.D.).
Is THOMAS WOYTTA (O.D.)'s NPI status active today?
Active status means THOMAS WOYTTA (O.D.)'s NPI record is not deactivated in the public file.
What services align with THOMAS WOYTTA (O.D.)'s listing?
THOMAS WOYTTA (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is THOMAS WOYTTA (O.D.) tied to Marysville, Michigan?
If you are local to Marysville, Michigan, THOMAS WOYTTA (O.D.) may be relevant to your search.
Can I export THOMAS WOYTTA (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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