Individual
DR. MARK JAY WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3044 S 84TH ST STE 1, OMAHA, NE 68124-3208
(402) 391-1143
Mailing address
1249 GLENWOOD CT, FREMONT, NE 68025-7887
(402) 721-8211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1097
NE
Other
Enumeration date
06/05/2006
Last updated
03/20/2019
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