Stephanie Mitchell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13981 Issued in CA

Practice address

2770 Carson St
Lakewood, CA 90712-4004

Phone

(562) 429-6239

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Loren Rude, O.D., Prof. Corp.Group PAC ID 1153790985, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Loren Rude, O.D., Prof. Corp.

  dba Sea View Optometric Center

  • Optometrist
  • Long Beach, CA
  • NPI 1417671611
  Medicare reassignment Care Compare group NPD
• Eye Physicians of Long Beach a Medical Group Inc.

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1235231598

  Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1619283660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CARSON ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124004",
            "telephone_number": "562-429-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CARSON ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124004",
            "telephone_number": "562-429-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Miramontes
• Maria Miranda
• Mirror Health Specialists (Mirror Health & Wellness)
• Pooja P. Mishrekar, O.T.R./L
• Mission Advanced Pain Management & Spine Center, P.C.
• Mericayte Moak
• Kyaw Moe, MD
• Nkiruka Mokolo
• Karen L Molano
• Melody Molayem

• Optometrist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.

Verify at the official NPI Registry.