Individual provider Active NPI

Christine R Mize, O.D.

  • Optometrist
  • Ravenswood, WV
National Provider Identifier
1235104480
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
931-OD Issued in WV
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

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0149820000MedicaidWV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050125000525 WV Practitioner - Optometry 9830149152 Reassigns benefits to 1 organization

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
Jesse Ben Mize III and Christie Mize PTRGroup PAC ID 8123078649, 4 clinicians

Practice addresses (Care Compare)

706 Washington St
Ravenswood, WV 26164-1772

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as group
Quality
85.2
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
931-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jesse Ben Mize III & Christie Mize PTR Optometrist CurrentSince Oct 1, 1994 Accepting new patients
Jesse Ben Mize III & Christie Mize PTR Optometrist CurrentSince Oct 1, 1994 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.

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

Verify at the official NPI Registry.