Active NPI
Ramona D Mitchell, O.D.
- Optometrist
- Grinnell, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02012
- Practice address
- 208 West St
Grinnell, IA 50112-2014 - Phone
- (641) 236-4002
- Fax
- (641) 236-8687
- NPI assigned
- Nov 16, 2005
- Last updated
- Feb 8, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02012 | IA | Primary |
Addresses
Primary practice location
208 West St
Grinnell, IA 50112-2014
Mailing address
PO Box 420
Grinnell, IA 50112-0420
Phone (641) 236-4002
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232577 | Other | IA | MIDLANDS CHOICE |
| 1102269 | Medicaid | IA | |
| 73375 | Other | IA | COVENTRY |
| 51707 | Other | IA | WELLMARK BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Army Post Rd
Suite 16
Des Moines, IA 50315-6203
Phone (515) 287-5565
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 78 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02012 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
Locations
200 Army Post Rd
Ste 16
Des Moines, IA 50315
Phone (515) 287-5565
1534 28th Ave N
#515
Fort Dodge, IA 50501
Phone (515) 573-1145
208 West St
Grinnell, IA 50112
Phone (641) 236-4002
Organizations & group practices 3
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.
-
- Optometrist
- Grinnell, IA
- NPI 1770565749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1174505143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 420",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501120420",
"telephone_number": "641-236-4002",
"fax_number": "641-236-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 WEST ST",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501122014",
"telephone_number": "641-236-4002",
"fax_number": "641-236-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "RAMONA",
"middle_name": "D",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "232577",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1102269",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "73375",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS",
"identifier": "51707",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grinnell, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.