Active NPI
Mitchell Mark Nass, O.D.
- Optometrist
- Fort Defiance, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35433
- Practice address
- Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649 - Phone
- (928) 729-8000
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35433 | CA | Primary |
| Optometrist | 152W00000X | OPC1771 | FL |
Addresses
Primary practice location
Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Mailing address
PO Box 649
Fort Defiance, AZ 86504-0649
Phone (928) 729-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082
PO Box
Suite 649
Fort Defiance, AZ 86504-0649
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35433 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision PC | Optometrist | Current | Accepting new patients |
| Golden Valley Health Centers | Current | Accepting new patients | |
| The Fort Defiance Indian Hospital Board, Incorporation | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Seal Beach Eyes Optometry Inc | Optometrist | Past | Accepting new patients |
| Golden Valley Health Center | Past | Accepting new patients | |
| Marina Eyecare Center | Optometrist | Past | Accepting new patients |
| Mark a. Chung, O.D., a Professional Corporation | Optometrist | Past | Accepting new patients |
Locations
1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111
9107 Garfield Ave
Fountain Vly, CA 92708
Phone (714) 963-2020
13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900
2280 E Carson St
Long Beach, CA 90807
Phone (562) 422-2020
12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287
821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481
302 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299
250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299
857 W Childs Ave
Merced, CA 95341
Phone (209) 384-2706
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104
797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871
27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691
1114 6th St
Modesto, CA 95354
Phone (209) 576-2845
1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437
1524 McHenry Ave
Ste 535
Modesto, CA 95350
Phone (209) 526-0462
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766
1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071
637 Merced St
Newman, CA 95360
Phone (209) 862-0270
200 C St
Patterson, CA 95363
Phone (209) 892-6307
9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253
4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900
1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031
1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388
8205 Santa Monica Blvd
Ste 15
West Hollywood, CA 90046
Phone (323) 650-0337
Interoperability endpoints
- mitchell.nass.p4@direct.vht.nextgenshare.com
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1477876639
TX
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
- Optometrist
- San Diego, CA
- NPI 1356813711
-
- Federally Qualified Health Center (FQHC)
- Westley, CA
- NPI 1770568347
-
- Community/Retail Pharmacy
- Merced, CA
- NPI 1093817405
-
- Federally Qualified Health Center (FQHC)
- Modesto, CA
- NPI 1487867503
-
- Optometrist
- Los Angeles, CA
- NPI 1407917701
-
- Optometrist
- West Hollywood, CA
- NPI 1861800997
-
- Optometrist
- Seal Beach, CA
- NPI 1124171566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1609936558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 AND N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASS",
"first_name": "MITCHELL",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35433",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1771",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.