Individual provider Active NPI

Minon Poland Mitchell, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1295875243
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2129 Issued in CO
Practice address
2770 N Union Blvd Ste 240
Colorado Springs, CO 80909-1193
Phone
(719) 471-2020
Fax
(719) 633-7379
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2129 CO Primary

Addresses

Primary practice location

2770 N Union Blvd Ste 240
Colorado Springs, CO 80909-1193

Mailing address

9359 Wolf Pack Ter
Colorado Springs, CO 80920-7677
Phone (719) 229-4335

Other practice location 1

9359 Wolf Pack Ter
Colorado Springs, CO 80920-7677
Phone (719) 229-4335

Other practice location 2

7075 Campus Dr Ste 100
Colorado Springs, CO 80920-6524
Phone (719) 471-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190824000670 CO Practitioner - Optometry 7810225125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Colorado Springs, PC.Group PAC ID 6305735952, 16 clinicians

Practice addresses (Care Compare)

2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1193
Phone (719) 471-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as group
Quality
99.09
Improvement activities
40
Cost
77.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2129COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Colorado Springs, PC CurrentSince Nov 1, 2019 Accepting new patients
Eye Associates of Colorado Springs, PC Optometrist CurrentSince Nov 1, 2019 Accepting new patients

Locations

2770 N Union Blvd
Ste 240
Colorado Springs, CO 80909
Phone (719) 471-2020

7075 Campus Dr
Ste 100
Colorado Springs, CO 80920
Phone (719) 535-9270

10035 Pearl Pass Vw
Ste 200
Colorado Springs, CO 80924
Phone (719) 265-5663

Interoperability endpoints

  • Direct secure messaging: minon.mitchell.p2@direct.eyeassoc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1295875243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9359 WOLF PACK TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207677",
            "telephone_number": "719-229-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091193",
            "telephone_number": "719-471-2020",
            "fax_number": "719-633-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9359 Wolf Pack Ter",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207677",
            "country_code": "US",
            "telephone_number": "719-229-4335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7075 Campus Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809206524",
            "country_code": "US",
            "telephone_number": "719-471-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MINON",
        "middle_name": "POLAND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.