Individual provider Active NPI

Mitchell Mark Nass, O.D.

  • Optometrist
  • Fort Defiance, AZ
National Provider Identifier
1609936558
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35433 Issued in CA
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

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230822002686 CA Practitioner - Optometry 1557487493 Reassigns benefits to 2 organizations
I20260116001803 TX Practitioner - Optometry 1557487493 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
35433CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Aug 9, 2023 Accepting new patients
Golden Valley Health Centers CurrentSince Jun 1, 2024 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 12, 2026 Accepting new patients
Golden Valley Health Center CurrentSince Jun 1, 2024 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Seal Beach Eyes Optometry Inc Optometrist PastSince Mar 10, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.