NPIMap

Organization Active NPI

Billy J. Mitchell Jr

Doing business as Mitchell Eye Clinic

  • Durable Medical Equipment & Medical Supplies
  • Wynne, AR
National Provider Identifier
1386814796
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
AR2426 Issued in AR
Legal business name
BILLY J. MITCHELL JR
Doing business as
Mitchell Eye Clinic
Practice address
668 Falls Blvd N
Wynne, AR 72396-2614
Phone
(870) 238-3535
Fax
(870) 238-2427
NPI assigned
Mar 3, 2008
Last updated
Jan 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Billy J. Mitchell Jr., O.D.NPI 1295717940
Title
Owner
Phone
(870) 238-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X AR2426 AR Primary

Addresses

Primary practice location

668 Falls Blvd N
Wynne, AR 72396-2614

Mailing address

668 Falls Blvd N
Wynne, AR 72396-2614
Phone (870) 238-3535

Other names 1

  • Mitchell Eye Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Mitchell Eye Clinic PA Inc668 Falls Blvd N, Wynne, AR 72396-2614(870) 238-3535 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Apr 6, 2016

National Provider Directory

National Provider Directory

Locations

668 Falls Blvd N
Wynne, AR 72396
Phone (870) 238-3535

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1386814796",
    "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": {
        "organization_name": "BILLY J. MITCHELL JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-238-3535",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "AR2426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wynne, AR

Sources for this page

  • 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 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.