Individual provider Active NPI

Robert B Mitchell, OD

  • Optometrist
  • Oro Valley, AZ
National Provider Identifier
1831257443
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1535 Issued in AZ
Practice address
760 Pusch View Lane
Suite 100
Oro Valley, AZ 85737-9378
Phone
(520) 229-2010
Fax
(520) 229-2111
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1535 AZ Primary

Addresses

Primary practice location

760 Pusch View Lane
Suite 100
Oro Valley, AZ 85737-9378

Mailing address

760 Pusch View Lane
Suite 100
Oro Valley, AZ 85737-9378
Phone (520) 229-2010

Other identifiers 1

IdentifierTypeStateIssuer
Z154612OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061228000393 AZ Practitioner - Optometry 2860492634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oro Valley Eyecare, PLLC.Group PAC ID 1850547605, 2 clinicians

Practice addresses (Care Compare)

760 E Pusch View LN
Suite 100
Oro Valley, AZ 85737-9245
Phone (520) 229-2010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oro Valley Eyecare, PLLC Optometrist CurrentSince May 25, 2012 Accepting new patients
Catalina Eye Care PC Past Accepting new patients
Arizona Glaucoma Specialists PC Past Accepting new patients

Locations

760 E Pusch View Ln
Ste 100
Tucson, AZ 85737
Phone (520) 229-2010

10515 N Oracle Rd
Ste 145
Tucson, AZ 85737
Phone (520) 229-2010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1831257443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 PUSCH VIEW LANE",
            "address_2": "SUITE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379378",
            "telephone_number": "520-229-2010",
            "fax_number": "520-229-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PUSCH VIEW LANE",
            "address_2": "SUITE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857379378",
            "telephone_number": "520-229-2010",
            "fax_number": "520-229-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z154612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.