Mitchell J Mayo

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

MITCHELL J MAYO

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mayo Ocular Prosthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These 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

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07137214",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayo Ocular Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Missions Behavioral Health
• Shawna M Mistretta, R.N.
• Misty Mountain Medicine
• Kristopher Jeffery Mitcell
• Jason Paul Mitcham, C.PED
• Saskeia Mitchell-Calixte, BA
• Andrea Mitchell, RBT
• April Mitchell, LPN
• Brian William Mitchell
• Cecilia Mitchell, OTR, CHT

• Ocularist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Ocularist in Colorado

• 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.

Verify at the official NPI Registry.