Active NPI
Carolyn Graeber Mitchell, M.D.
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Ophthalmology and Strabismus Specialist Physician
- License
- DR.0066637
- Practice address
- 2121 E Harmony Rd Unit 350
Fort Collins, CO 80528-3404 - Phone
- (970) 214-8175
- NPI assigned
- Jun 19, 2008
- Last updated
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 250330 | MA | |
| Ophthalmology Physician | 207W00000X | 255515 | NY | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | DR.0066637 | CO | Primary |
Addresses
Primary practice location
2121 E Harmony Rd Unit 350
Fort Collins, CO 80528-3404
Mailing address
2121 E Harmony Rd Unit 350
Fort Collins, CO 80528-3404
Phone (970) 214-8175
Other names 1
- Carolyn Page Graeber
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Yale University School of Medicine, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2121 E Harmony Rd
Unit 350
Fort Collins, CO 80528-3404
Phone (970) 214-8175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Eye Care of Northern Colorado PC | Ophthalmology | Current | Accepting new patients |
| Boston Children's Health Physicians, LLP | Current | Accepting new patients | |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Mark Fromer, MD PC | Ophthalmology | Past | Accepting new patients |
| Children's Optical of Northern Colorado LLC | Pediatric Ophthalmology and Strabismus Specialist | Past | Accepting new patients |
Locations
2121 E Harmony Rd
Unit 350
Fort Collins, CO 80528
Phone (970) 221-2370
2121 E Harmony Rd
Unit 350A
Fort Collins, CO 80528
Phone (970) 214-8175
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
40 Saw Mill River Rd
Hawthorne, NY 10532
Phone (914) 345-8888
40 Saw Mill River Rd
Ste UL7
Hawthorne, NY 10532
Phone (914) 313-3937
Interoperability endpoints
- cmitchell@cecnoco.intellechartdirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Fort Collins, CO
- NPI 1255091716
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
dba Boston Childrens Health Physicians Pediatric Endocrinology Division
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
dba Children's Optical
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Fort Collins, CO
- NPI 1295435881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1053572438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD UNIT 350",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283404",
"telephone_number": "970-214-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD UNIT 350",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283404",
"telephone_number": "970-214-8175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CAROLYN",
"middle_name": "GRAEBER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "250330",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "255515",
"primary": false
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "CO",
"license": "DR.0066637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "GRAEBER",
"middle_name": "PAGE",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.