Idell Marie Mitchell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1901-837AT Issued in LA

Practice address

550 Connell Park LN
Baton Rouge, LA 70806-6539

Phone

(225) 924-2020

Fax

(225) 924-2809

NPI assigned

Jun 13, 2019

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Williamson Eye CenterGroup PAC ID 9335131192, 19 clinicians

Natchitoches Family Eye Care LLCGroup PAC ID 0042312258, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Natchitoches Family Eye Care LLC

  • Optometrist
  • Natchitoches, LA
  • NPI 1508943374

  LA, Optometrist

  Medicare reassignment Care Compare group NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Gonzales, LA
  • NPI 1699812909

  LA

  Medicare reassignment Care Compare group
• Williamson Eye Center

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1134687403
  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Saint Francisville, LA
  • NPI 1487495131

  Optometrist

  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Denham Springs, LA
  • NPI 1841295813

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1306406269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CONNELL PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-924-2020",
            "fax_number": "225-924-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CONNELL PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-924-2020",
            "fax_number": "225-924-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "IDELL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1901-837AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2535854",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernell Mitchell
• Felicity Shauntane Mitchell, RN,BSN
• Florence Watson Mitchell, S.T.
• Gregory Mitchell
• Horace L Mitchell, MD
• Jamariah Tremeal Mitchell
• Jemil Mitchell
• Jennay Renee Mitchell, NP-C
• Joshua William Mitchell, DO
• Kathryn Mitchell

• All providers in Baton Rouge, LA
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.