David Mitchell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA004031 Issued in NJ

Practice address

81 Main Street
Lebanon, NJ 08833

Phone

(908) 236-9505

Fax

(908) 236-9506

NPI assigned

Sep 21, 2006

Last updated

May 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bedminster Eye and Laser Center, P.a.

  • Ophthalmology Physician
  • Bedminster, NJ
  • NPI 1659473973

  Optometrist

  Medicare reassignment NPD
• Hunterdon Vision Care LLC

  • Optometrist
  • Lebanon, NJ
  • NPI 1003460296
  NPD (past) Authorized official
• Battaglia LLC

  • Chiropractor
  • Lebanon, NJ
  • NPI 1821264375
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1023117835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MAIN STREET",
            "address_2": "PO BOX 115",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "08833",
            "telephone_number": "908-236-9505",
            "fax_number": "908-236-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MAIN STREET",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "08833",
            "telephone_number": "908-236-9505",
            "fax_number": "908-236-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA004031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE NUMBER",
            "identifier": "27OA004031",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anastasia I Maresco, LICENSED SOCIAL WORK
• Melissa Jaeger &Thomas Jaeger, PTRS
• Metcon Mechanics PT
• John Francis Mielo Jr., D.M.D.
• Rebecca Mikaliunas, MA, LPC
• Nature & Nurture OT, LLC
• Susan Nemeth, MA, LPC
• Neurowelld, LLC
• Erin Anne O'Grodnick, D.M.D.
• Anna Olds

• Optometrist in Lebanon, NJ
• Providers in Lebanon, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.