DR. MARK JAY WITTE (O.D.) – Optometrist, NPI 1699714964

DR. MARK JAY WITTE (O.D.) is a healthcare provider. based in Fremont, Nebraska. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1097 (NE). The NPI Number for DR. MARK JAY WITTE (O.D.) is 1699714964

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK JAY WITTE (O.D.)
NPI
1699714964
Phone
(402) 721-8211
Address
1249 GLENWOOD CT
Enumeration Date
5 June 2006
Last Update Date
20 March 2019

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
4023911143
Graduation Year
1996 (30 years ago)
PAC ID
3577566785
Group Practice PAC ID
1456684471
Professional Enrollment ID
I20060808000481
Address ID
NE681243208OM3044XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

338 OPTOMETRY in NE

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Provider Addresses for DR. MARK JAY WITTE (O.D.)

  • 1249, Glenwood Court, Fremont, Dodge County, Nebraska, 68025, United States

    FREMONT, NE 680257887

    Phone: (402) 721-8211

    Type: Mailing

  • South 84th Street, Omaha, Douglas County, Nebraska, 68127, United States

    OMAHA, NE 681243208

    Phone: (402) 391-1143

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Alcon Vision LLC ($122).

Total Amount

$122

General + Research + Ownership

Payments

2

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$122
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: 2006-08-08

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
I20060808000481IOptometryNETBD

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 68025)

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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: 1456684471View full group profile

Reviews

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Frequently asked questions

How is DR. MARK JAY WITTE (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MARK JAY WITTE (O.D.) with NPI 1699714964.
Is DR. MARK JAY WITTE (O.D.) still practicing?
DR. MARK JAY WITTE (O.D.) is currently listed as active in the public NPI registry.
What is DR. MARK JAY WITTE (O.D.)'s specialty?
The listing groups DR. MARK JAY WITTE (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. MARK JAY WITTE (O.D.) serve?
DR. MARK JAY WITTE (O.D.)'s listing highlights Fremont, Nebraska; more addresses can appear in NPPES.
Is the information about DR. MARK JAY WITTE (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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