Mitchell J Mayo

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

MITCHELL J MAYO

Doing business as

Mayo Ocular Prosthetics

Practice address

2627 Redwing Rd
Ste 210
Fort Collins, CO 80526-6321

Phone

(970) 204-6860

Fax

(719) 272-6408

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Mitchell Mayo, BCO

Title

Owner

Phone

(719) 272-6416

Specialties & licenses 1

Addresses

Other names 1

• Mayo Ocular Prosthetics Doing business as

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1497990113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 HOLLOW BROOK DR",
            "address_2": "STE 40",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181451",
            "telephone_number": "719-272-6416",
            "fax_number": "719-272-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD",
            "address_2": "STE 210",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266321",
            "telephone_number": "970-204-6860",
            "fax_number": "719-272-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL J MAYO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-272-6416",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayo Ocular Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Miron, M.D.
• Bruce Donald Misare, MD, RPH
• Dilaawar J. Mistry, M.D.
• Kelly Elizabeth Mistry, M.D.
• Amira Misurati, BS
• Carolyn Graeber Mitchell, M.D.
• Karmen Thea Mitchell, MM, MT-BC
• Kennedy Noelle Mitchell
• Michelle Mitchell, OD
• Rebecca B Mitchell, LPC, MS

• Technician/Technologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Technician/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.