| Thomas Woytta Inc. | |
|
1100 Michigan Ave, Marysville, MI 48040-2112 | |
| (810) 364-1334 | |
| (810) 364-1075 |
| Full Name | Thomas Woytta Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1100 Michigan Ave, Marysville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942292289 | NPI | - | NPPES |
| 3462930 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901002400 (Michigan) | Primary |
| Provider Name | Thomas O Woytta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124143987 PECOS PAC ID: 7012009194 Enrollment ID: I20070821000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Woytta Inc. 1100 Michigan Ave, Marysville, MI 48040-2112 Ph: (810) 364-1334 | Thomas Woytta Inc. 1100 Michigan Ave, Marysville, MI 48040-2112 Ph: (810) 364-1334 |
Patrick August Deview, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3160 Gratiot, Marysville, MI 48040 Phone: 810-364-5520 Fax: 810-364-6545 | |
Thomas Woytta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 Michigan Ave, Marysville, MI 48040 Phone: 810-364-1334 Fax: 810-364-1075 | |
Dr. Mark John Sanitate, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3160 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-5520 Fax: 810-364-6545 | |
Erica Gagnon, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3184 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-5520 | |
Julia Mobilio, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3184 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-5520 Fax: 810-364-6545 |