Bill Harold Mitchell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S458TA129 Issued in AL

Practice address

311 N Broad St
Albertville, AL 35950-1725

Phone

(256) 878-9181

NPI assigned

Dec 11, 2006

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 AL

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

Specialty

Optometry

Education

Southern College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Bill Mitchell, OD., PC

  • Optometrist
  • Albertville, AL
  • NPI 1346443249
  Medicare reassignment NPD Authorized official
• Darrell S. Prestridge, DO, PC

  • Ophthalmology Physician
  • Pelham, AL
  • NPI 1508817198
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1104986926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N BROAD ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501725",
            "telephone_number": "256-878-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N BROAD ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501725",
            "telephone_number": "256-878-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BILL",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S458TA129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000810024",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical Centers Homecare, LLC
• Michael a McEwen, M.D., P.a.
• Osalyn Shae Minor
• Andrea Leigh Minton, CCC SLP
• Pranav Mishra, MD
• Modern Medical Concepts Homecare, Inc
• Paul Morris, MD
• Ronald Thomas Mosley, LPC
• Heather Lynn Mostella, CRNP
• Sue B Moultrie, LCSW

• Optometrist in Albertville, AL
• Providers in Albertville, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.

Verify at the official NPI Registry.