Active NPI
Mitchell Eye Center, PLLC
- Clinic/Center
- Selmer, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MITCHELL EYE CENTER, PLLC
- Practice address
- 699 E Poplar Ave
Selmer, TN 38375-1828 - Phone
- (731) 610-7317
- NPI assigned
- Mar 23, 2018
- Last updated
- Mar 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Jo Mitchell, OD
- Title
- Optometrist
- Phone
- (731) 610-7317
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
699 E Poplar Ave
Selmer, TN 38375-1828
Mailing address
PO Box 833
Selmer, TN 38375-0833
Phone (731) 610-7317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mitchell Eye Center, PLLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
699 E Poplar Ave
Selmer, TN 38375
Phone (731) 434-3401
Practitioners & affiliated clinicians
Practitioners 18
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.
-
- Optometrist
- Selmer, TN
- NPI 1982853149
-
- Optometrist
- Somerville, TN
- NPI 1962012369
-
- Optometrist
- Selmer, TN
- NPI 1811738677
-
- Emergency Medicine Physician
- Selmer, TN
- NPI 1972721850
-
- Obstetrics & Gynecology Physician
- Selmer, TN
- NPI 1750345807
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1952482960
-
- Obstetrics & Gynecology Physician
- Arlington, TN
- NPI 1396804266
-
- Obstetrics Physician
- McMinnville, TN
- NPI 1871702464
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1700906286
-
- Internal Medicine Physician
- Clarksville, TN
- NPI 1225253883
-
- Internal Medicine Physician
- Selmer, TN
- NPI 1982808473
-
- Internal Medicine Physician
- Cordova, TN
- NPI 1124032289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521763200000",
"number": "1235633199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 833",
"city": "SELMER",
"state": "TN",
"postal_code": "383750833",
"telephone_number": "731-610-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 E POPLAR AVE",
"city": "SELMER",
"state": "TN",
"postal_code": "383751828",
"telephone_number": "731-610-7317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL EYE CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-23",
"last_updated": "2018-03-23",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "731-610-7317",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Selmer, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.