MR. WARREN A WITTIG


Address: 215 Conicville Blvd, Mount Jackson, VA 22842-2862
Phone: 5404772526

MR. WARREN A WITTIG (NPI# 1205072519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205072519
Entity Type Individual
Full Name MR. WARREN A WITTIG
Credential OPTICIAN
Practice Address 215 Conicville Blvd
Mount Jackson
VA 22842-2862
Practice Telephone 5404772526
Practice Fax Number 5404772527
Mailing Telephone 5404772526
Mailing Fax Number 5404772527
Enumeration Date 2008-12-17
Last Update Date 2008-12-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
1101000478 VA Eye and Vision Services Providers

Office Location

Street Address 215 CONICVILLE BLVD
City MOUNT JACKSON
State VA
Zip Code 22842-2862

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1538619473 Skyler Tyne Sharp Nurse Practitioner 5173 South Main Street, Mt Jackson, VA 22842 2016-10-04
1427109628 Sharon Sammons Clark Dietitian, Registered 8006 Senedo Rd, Mount Jackson, VA 22842-2232 2007-01-15
1497994172 North Mountain Dietetic Services, LLC Dietitian, Registered 8006 Senedo Rd, Mount Jackson, VA 22842-2232 2009-02-19
1952848418 Assisting Angels Home Care LLC Home Health 14274 Senedo Rd, Mount Jackson, VA 22842-2408 2017-01-23
1609300870 Simeon A Melaku Family Medicine 120 Medical Dr, Mount Jackson, VA 22842-9417 2017-04-14
1649531401 Jason Asistores Family Medicine 120 Medical Dr, Mount Jackson, VA 22842-9417 2012-06-07
1144467796 Ruth N. Holmaas Nurse Practitioner 120 Medical Dr, Mount Jackson, VA 22842-9417 2009-01-18
1831153121 Nancy L. Brubaker Nurse Practitioner 120 Medical Dr, Mount Jackson, VA 22842-9417 2006-04-13
1649234048 Janet L Polansky Family Medicine 120 Medical Dr, Mount Jackson, VA 22842-9417 2006-04-13
1821051269 Robert E. Keeton Family Medicine 120 Medical Dr, Mount Jackson, VA 22842-9417 2006-04-07
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1215417001 Takenya Norfus Technician/Technologist 3031 Kempton Park Rd, Suffolk, VA 23435-2552 2018-08-21
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1780190900 Rosalind Bond Alexander Technician/Technologist 805 Battlefield Blvd N Ste 109, Chesapeake, VA 23320-4878 2017-12-26
1225543275 Rachel Naomi Melendrez Technician/Technologist 125 Mill St Ste 12, Occoquan, VA 22125-7732 2017-12-12
1548774425 Dean Diffenbaugh Technician/Technologist 137 Spotsylvania Mall Ste 440a, Fredericksburg, VA 22407-1126 2017-11-29
1447761408 David Morris Lambert Technician/Technologist 904 N 1st St Ste 100, Richmond, VA 23219-1000 2017-10-17
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Competitor

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City MOUNT JACKSON
Zip Code 22842

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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