Active NPI
Christine R Mize, O.D.
- Optometrist
- Ravenswood, WV
National Provider Identifier
1235104480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 931-OD
- Practice address
- 706 Washington St
Ravenswood, WV 26164-1772 - Phone
- (304) 273-2020
- NPI assigned
- Feb 21, 2006
- 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 | 931-OD | WV | Primary |
Addresses
Primary practice location
706 Washington St
Ravenswood, WV 26164-1772
Mailing address
706 Washington St
Ravenswood, WV 26164-1772
Phone (304) 273-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149820000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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
- Southern College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
706 Washington St
Ravenswood, WV 26164-1772
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 85.2
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 931-OD | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jesse Ben Mize III & Christie Mize PTR | Optometrist | Current | Accepting new patients |
| Jesse Ben Mize III & Christie Mize PTR | Optometrist | Current | Accepting new patients |
Locations
706 Washington St
Ravenswood, WV 26164
Phone (304) 273-2020
Organizations & group practices 2
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.
-
- Optometrist
- Ravenswood, WV
- NPI 1881643583
-
- Optometrist
- Point Pleasant, WV
- NPI 1306710488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1235104480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 WASHINGTON ST",
"city": "RAVENSWOOD",
"state": "WV",
"postal_code": "261641772",
"telephone_number": "304-273-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 WASHINGTON ST",
"city": "RAVENSWOOD",
"state": "WV",
"postal_code": "261641772",
"telephone_number": "304-273-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZE",
"first_name": "CHRISTINE",
"middle_name": "R",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "931-OD",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149820000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ravenswood, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.