NPIMap

Organization Active NPI

Alan L Mitchell MD PA

  • Ophthalmology Physician
  • Boca Raton, FL
National Provider Identifier
1053593194
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME57319 Issued in FL
Legal business name
ALAN L MITCHELL MD PA
Practice address
22023 State Road 7
Suite 102
Boca Raton, FL 33428-3401
Phone
(561) 451-0655
Fax
(561) 451-2660
NPI assigned
Nov 30, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Alan Lewis Mitchell I, M.D.NPI 1770500241
Title
Owner
Phone
(561) 451-0655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME57319 FL Primary

Addresses

Primary practice location

22023 State Road 7
Suite 102
Boca Raton, FL 33428-3401

Mailing address

22023 State Road 7
Suite 102
Boca Raton, FL 33428-3401
Phone (561) 451-0655

Other identifiers 1

IdentifierTypeStateIssuer
10754OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

22023 State Road 7
Ste 102
Boca Raton, FL 33428
Phone (561) 451-0655

550 Heritage Dr
Ste 105
Jupiter, FL 33458
Phone (561) 444-0094

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1053593194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22023 STATE ROAD 7",
            "address_2": "SUITE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283401",
            "telephone_number": "561-451-0655",
            "fax_number": "561-451-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22023 STATE ROAD 7",
            "address_2": "SUITE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334283401",
            "telephone_number": "561-451-0655",
            "fax_number": "561-451-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN L MITCHELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-451-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME57319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10754",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.