Active NPI
Minon Poland Mitchell, O.D.
- Optometrist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2129
- 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
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 | 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
Enrollment records 1
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
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 100
- Quality
- 99.09
- Improvement activities
- 40
- Cost
- 77.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2129 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Colorado Springs, PC | Current | Accepting new patients | |
| Eye Associates of Colorado Springs, PC | Optometrist | Current | 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
- minon.mitchell.p2@direct.eyeassoc.nextgenshare.com
- 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.
-
- Ophthalmology Physician
- Colorado Springs, CO
- NPI 1982655767
Optometrist
-
- Ophthalmology Physician
- Pueblo, CO
- NPI 1235802943
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.