Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Ellen Wittendorf, OD

Individual provider Optometrist · NPI 1760008726

Mary Ellen Wittendorf, OD is an Optometrist in Mishawaka, Indiana. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1540 Trinity Pl
Mishawaka, IN 46545-5006
Phone: (574) 272-9000
Fax: (574) 272-9010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005437 (MI)

Record details

NPI number1760008726
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 24, 2020
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023

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