Individual provider Active NPI

William Mitchell

  • Optometrist
  • Starkville, MS
National Provider Identifier
1407309628
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
945 Issued in MS
Practice address
450 Highway 12 W Ste D
Starkville, MS 39759-3697
Phone
(601) 670-1834
NPI assigned
Jul 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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 945 MS Primary

Addresses

Primary practice location

450 Highway 12 W Ste D
Starkville, MS 39759-3697

Mailing address

PO Box 59
Starkville, MS 39760-0059
Phone (662) 546-4306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20161108002261 MS Practitioner - Optometry 6204115686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitchell Eye Care, PLLCGroup PAC ID 8123389129, 2 clinicians

Practice addresses (Care Compare)

450 Hwy 12 W
Suite D
Starkville, MS 39759-3697
Phone (601) 670-1834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
945MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Eye Care, PLLC Optometrist CurrentSince Feb 1, 2018 Accepting new patients

Locations

450 Highway 12 W
Ste D
Starkville, MS 39759
Phone (601) 670-1834

Organizations & group practices 1

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1407309628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397600059",
            "telephone_number": "662-546-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 HIGHWAY 12 W STE D",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593697",
            "telephone_number": "601-670-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.