Mark C Mitchum OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1270 Issued in NC

Legal business name

MARK C MITCHUM OD

Practice address

2648 Lee Avenue
Sanford, NC 27332-5950

Phone

(919) 775-5221

Fax

(919) 775-7655

NPI assigned

Jun 9, 2006

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Chandler Mitchum, ODNPI 1326087461

Title

President

Phone

(919) 775-5221

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Mark Chandler Mitchum, OD

  • Optometrist
  • Sanford, NC
  • NPI 1326087461
  Authorized official Same address or phone
• Elven Conrad Smith III, O.D.

  • Low Vision Rehabilitation Optometrist
  • Rockingham, NC
  • NPI 1215974548
  NPD (past)
• Roger Dwight Thomas Sr.

  • Optician
  • Sanford, NC
  • NPI 1356470322
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1174564538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 LEE AVENUE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273325950",
            "telephone_number": "919-775-5221",
            "fax_number": "919-775-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 LEE AVENUE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273325950",
            "telephone_number": "919-775-5221",
            "fax_number": "919-775-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C MITCHUM OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "MITCHUM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHANDLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-775-5221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093N1",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "093N1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Malinowski
• Laura Malley
• John R Mangum, MD
• Candace Marin, ARNP
• Mariposa Therapeutic Services PLLC
• Rebecca J Marks, M.S., CCC-SLP
• Mindy Deason Marlowe, M.D.
• Kimberly Marsh
• Ladonna Michelle Marsh, LCMHCA
• Beth Martin, LCSW

• Optometrist in Sanford, NC
• Providers in Sanford, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.