Stephenville Eye Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STEPHENVILLE EYE CENTER, PLLC

Practice address

101 N Dale Ave
Stephenville, TX 76401-2832

Phone

(325) 226-1011

NPI assigned

Jul 11, 2022

Organization subpart

No

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

Authorized official

Name

Shannon Lance Mitchel, ODNPI 1407006414

Title

Owner

Phone

(325) 226-1011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Lance Mitchel, O.D.

  • Optometrist
  • Cleburne, TX
  • NPI 1407006414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1811621477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 OAK TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N DALE AVE",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012832",
            "telephone_number": "325-226-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENVILLE EYE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "MITCHEL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-226-1011",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephenville Complete UC & Family Medicine PLLC
• Stephenville Dental, PLLC
• Stephenville Family Dentistry
• Stephenville Family Dentistry, Inc.
• Stephenville I Enterprises, LLC (Stephenville Nursing and Rehabilitation)
• Stephenville Isd
• Stephenville Medical and Surgical Clinic PA (SMSC)

• Optometrist in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.