Charles Mitchell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

36356 Issued in CA

Practice address

1800 Fourth St
Livermore, CA 94550-4454

Phone

(925) 447-3883

NPI assigned

Jul 23, 2026

Last updated

Jul 23, 2026By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Livermore Optometry Group

  • Optometrist
  • Livermore, CA
  • NPI 1114062635
  NPD (past)

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1811818875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 OLIVINA AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945516148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FOURTH ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504454",
            "telephone_number": "925-447-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHARLES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milestone Global LLC
• Masy Miller, PHARM.D.
• Jack Olen Mills, D.D.S.
• Mindfulcare Hospice and Palliative Servvices
• Ann Khazzandra Miranda
• Linda Mitchell
• Edward Arthur Mitoma, DDS
• MM Optometric Corporation
• Mobile-Med Work Health Solutions, Inc. (Work Health Solutions)
• Soudabeh Mohammadi Kholdi, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.