Active NPI
Mitchell J Mayo
Doing business as Mayo Ocular Prosthetics
- Ocularist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- Legal business name
- MITCHELL J MAYO
- Doing business as
- Mayo Ocular Prosthetics
- Practice address
- 2155 Hollow Brook Dr
Ste 40
Colorado Springs, CO 80918-1451 - Phone
- (719) 272-6416
- Fax
- (719) 272-6408
- NPI assigned
- Jan 30, 2008
- Last updated
- Feb 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mitchell Mayo, BCO
- Title
- Owner
- Phone
- (719) 272-6416
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | Primary |
Addresses
Primary practice location
2155 Hollow Brook Dr
Ste 40
Colorado Springs, CO 80918-1451
Mailing address
2155 Hollow Brook Dr
Ste 40
Colorado Springs, CO 80918-1451
Phone (719) 272-6416
Other names 1
- Mayo Ocular Prosthetics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930021007 | CO | DME Supplier - Ocularist | 9032322193 | Practice locations: Colrado Springs, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mayo Ocular Prosthetics | Ocular Prostheses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2155 Hollow Brook Dr
Ste 40
Colorado Springs, CO 80918
Phone (719) 272-6416
2627 Redwing Rd
Ste 210
Fort Collins, CO 80526
Phone (970) 204-6860
343 W Drake Rd
Ste 250
Fort Collins, CO 80526
Phone (970) 204-6860
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ocularist
- Colorado Springs, CO
- NPI 1073549226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581292800000",
"number": "1730366808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 HOLLOW BROOK DR",
"address_2": "STE 40",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181451",
"telephone_number": "719-272-6416",
"fax_number": "719-272-6408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2155 HOLLOW BROOK DR",
"address_2": "STE 40",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181451",
"telephone_number": "719-272-6416",
"fax_number": "719-272-6408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL J MAYO",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A",
"authorized_official_last_name": "MAYO",
"authorized_official_first_name": "MITCHELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-272-6416",
"authorized_official_credential": "BCO"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ocularist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mayo Ocular Prosthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.