Roy H Mittmann, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000405 Issued in VA

Practice address

1601 Huguenot Rd
Midlothian, VA 23113-2428

Phone

(804) 794-3937

Fax

(804) 794-9216

NPI assigned

Nov 14, 2007

Last updated

Mar 23, 2014By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Eye Place Optometry, P.C.

  • Optometrist
  • Midlothian, VA
  • NPI 1548366123
  Medicare reassignment NPD

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395532800000",
    "number": "1437330867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HUGUENOT RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132428",
            "telephone_number": "804-794-3937",
            "fax_number": "804-794-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HUGUENOT RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132428",
            "telephone_number": "804-794-3937",
            "fax_number": "804-794-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTMANN",
        "first_name": "ROY",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2014-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER ID",
            "identifier": "OP2564",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "356769",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Patricia Mitchell, PHARMD
• Kara Mitchell
• Victoria Elizabeth Mitchell
• Mitten Construction LLC
• Alicen Wray Mitterer, DPT
• Laura Carolyn Mixon
• Jennifer J Mixson, MS, LPC
• Lily Rose Mlynarczyk
• Sumayra Mairaj Mohiuddin, DDS
• Corinne Pleasants Mohler, PHARMD

• Optometrist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.