Billy J Mitchell Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AR2426 Issued in AR

Practice address

668 Falls Blvd N
Wynne, AR 72396-2614

Phone

(870) 238-3535

Fax

(870) 238-2427

NPI assigned

Nov 17, 2005

Last updated

Jan 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Optometry

Education

Southern College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mitchell Eye Clinic PA IncGroup PAC ID 0547550899, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

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.

• Kurt W Brawner, O.D.

  • Optometrist
  • Wynne, AR
  • NPI 1073946596
  Medicare reassignment

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.

• Mitchell Eye Clinic PA Inc

  • Optometrist
  • Wynne, AR
  • NPI 1790146249
  Medicare reassignment Care Compare group NPD Authorized official
• The Ridge Vision Clinic PLLC

  • Optometrist
  • Wynne, AR
  • NPI 1821951062
  Medicare reassignment
• Billy J. Mitchell Jr

  dba Mitchell Eye Clinic

  • Durable Medical Equipment & Medical Supplies
  • Wynne, AR
  • NPI 1386814796
  Authorized official Same address or phone

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1295717940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962614",
            "telephone_number": "870-238-3535",
            "fax_number": "870-238-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962614",
            "telephone_number": "870-238-3535",
            "fax_number": "870-238-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BILLY",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125581722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE SOUTH",
            "identifier": "71075844972396A001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS BLUE SHIELD",
            "identifier": "48809",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid South Medical Equipment
• Mid-South Retina Associates, LLC
• Michael S. Miller, LPC
• Miss Polly's Day Care Center
• Mitchell Eye Clinic PA Inc
• Sandra Kay Mitchell
• Amandarhea A Moore, MCD, CCC-SLP
• Amanda Noelle Mueller, OT
• Madison Naceanceno
• Neall Jackson DDS PA (Puryear Jackson Family Dentistry)

• Optometrist in Wynne, AR
• Providers in Wynne, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.

Verify at the official NPI Registry.