Matthew David Mitchell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003000A Issued in IN

Practice address

105 W Harvest Rd
Bluffton, IN 46714-9007

Phone

(260) 824-3424

NPI assigned

Aug 13, 2006

Last updated

Nov 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Optometry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matthew D. Mitchell O.D., LLCGroup PAC ID 2062608110, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matthew D. Mitchell O.D., LLC

  dba Bluffton Family Eye Care

  • Optometrist
  • Bluffton, IN
  • NPI 1326361791
  Medicare reassignment Care Compare group NPD Authorized official
• Bluffton Family Eye Care, LLC

  • Optometrist
  • Bluffton, IN
  • NPI 1780695171
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1871505123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 374",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467140374",
            "telephone_number": "260-824-3424",
            "fax_number": "260-824-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W HARVEST RD",
            "city": "BLUFFTON",
            "state": "IN",
            "postal_code": "467149007",
            "telephone_number": "260-824-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003000A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "18003000",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000528552",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meridian Health Services Corp.
• Meridian Health Services Corp. (Meridian Health Services)
• George W Merkle, MD PC
• Julayne Anne Miller, O.D.
• Katelyn Miller
• Eden Christine Mock, MSW, LCSW
• Amin Mohamed, PHARMACIST
• Noel T Moore, M.D.
• Jessica M Morse, DO
• Stephen A Morse Jr., DO

• Optometrist in Bluffton, IN
• Providers in Bluffton, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.