Individual provider Active NPI

Mitchell Scott Reinholt, OD

  • Optometrist
  • Warsaw, IN
National Provider Identifier
1558700690
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003797A Issued in IN
Practice address
3301 E Center Street Ext
Warsaw, IN 46582-3909
Phone
(574) 269-3828
Fax
(574) 269-3848
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003797A IN Primary

Addresses

Primary practice location

3301 E Center Street Ext
Warsaw, IN 46582-3909

Mailing address

3301 E Center Street Ext
Warsaw, IN 46582-3909
Phone (574) 269-3828

Other identifiers 1

IdentifierTypeStateIssuer
18003797AOtherINOPTOMISTRIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20130906000836 IN Practitioner - Optometry 1052554292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitchell Reinholt OD LLCGroup PAC ID 2264858588, 4 clinicians

Practice addresses (Care Compare)

3301 E Ctr St Ext
Warsaw, IN 46582-3909
Phone (574) 269-3828

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Reinholt, OD, LLC Optometrist CurrentSince May 6, 2020 Accepting new patients

Locations

3301 E Center Street Ext
Warsaw, IN 46582
Phone (574) 269-3828

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1558700690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 E CENTER STREET EXT",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465823909",
            "telephone_number": "574-269-3828",
            "fax_number": "574-269-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E CENTER STREET EXT",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465823909",
            "telephone_number": "574-269-3828",
            "fax_number": "574-269-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHOLT",
        "first_name": "MITCHELL",
        "middle_name": "SCOTT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003797A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMISTRIST LICENSE",
            "identifier": "18003797A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.