Provider Demographics
NPI:1235321167
Name:WITMER, MATTHEW T (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:T
Last Name:WITMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:160 SAWGRASS DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4656
Mailing Address - Country:US
Mailing Address - Phone:585-442-3411
Mailing Address - Fax:585-340-3747
Practice Address - Street 1:160 SAWGRASS DR
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4656
Practice Address - Country:US
Practice Address - Phone:585-442-3411
Practice Address - Fax:585-340-3747
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2017-07-11
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Provider Licenses
StateLicense IDTaxonomies
NY261709207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology