Shannon Lance Mitchel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7241TG Issued in TX

Practice address

1665 Woodard Ave
Cleburne, TX 76033-7051

Phone

(817) 641-2020

Fax

(817) 641-2035

NPI assigned

Sep 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Stephenville Eye Center, PLLC

  • Optometrist
  • Stephenville, TX
  • NPI 1811621477
  Medicare reassignment NPD Authorized official
• Steve G. Surratt, M.D., P.a.

  dba Cataract & Eye Center

  • Ophthalmology Physician
  • Cleburne, TX
  • NPI 1023121399
  Medicare reassignment NPD

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1407006414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 WOODARD AVE",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337051",
            "telephone_number": "817-641-2020",
            "fax_number": "817-641-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 WOODARD AVE",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337051",
            "telephone_number": "817-641-2020",
            "fax_number": "817-641-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEL",
        "first_name": "SHANNON",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7241TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Leighton Mertz, M.D.
• Cynthia L Mickel, LCDC
• Allison Rae Miller, M.S., CCC-SLP
• Joe Miller
• Rachael Allison Millham-Jones, FNP-BC
• Tara Mitchell, LCSW
• Mobile Labs at Your Service LLC
• Mobility on Wheels
• Mobility on Wheels
• Roger Leroy Montgomery Jr., R.T.

• Optometrist in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.