Mark G. Mitchell, OD, LTD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

374 Issued in NV

Legal business name

MARK G. MITCHELL, OD, LTD.

Practice address

4600 Kietzke LN
B-119
Reno, NV 89502-5033

Phone

(775) 825-0506

Fax

(775) 825-0873

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Glenn Mitchell, O.D.

Title

Ceo

Phone

(775) 825-0506

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1710108402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN",
            "address_2": "B-119",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025033",
            "telephone_number": "775-825-0506",
            "fax_number": "775-825-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN",
            "address_2": "B-119",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025033",
            "telephone_number": "775-825-0506",
            "fax_number": "775-825-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G. MITCHELL, OD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-825-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "V28949",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Marinaro, APRN
• Francesca Marini
• Curtis Marino, DO
• Marisa Torch, Ma, MFT
• Mark G. Mitchell, OD, LTD.
• Mark G. Mitchell, OD, LTD.
• Susan Amanda Markcity
• Markendev
• Michael L. Markgraf
• Jay Odell Markin, MD

• Optometrist in Reno, NV
• Providers in Reno, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.