Individual provider Active NPI

Anthony Mitchell

  • Optometrist
  • Cary, NC
National Provider Identifier
1891571766
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2762 Issued in NC
Practice address
2003 Walnut St
Cary, NC 27518-9205
Phone
(224) 310-8893
NPI assigned
Sep 6, 2023
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2762 NC Primary

Addresses

Primary practice location

2003 Walnut St
Cary, NC 27518-9205

Mailing address

204 Blanks Rd
Clarkton, NC 28433-8118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240829003418 NC Practitioner - Optometry 2860931193 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2762NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NC Doctors of Optometry PLLC Optometrist CurrentSince Aug 16, 2024 Accepting new patients
NC Doctors of Optometry PLLC Optometrist CurrentSince Aug 16, 2024 Accepting new patients

Locations

83 S Tunnel Rd
Ste A2
Asheville, NC 28805
Phone (828) 298-0207

8020 Northlake Creek Dr
Ste A
Charlotte, NC 28216
Phone (704) 272-3378

9882 Rea Rd
Ste A
Charlotte, NC 28277
Phone (704) 627-8143

8561 Concord Mills Blvd
#B
Concord, NC 28027
Phone (704) 979-8234

3700 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 852-6664

8830 Lindholm Dr
Ste 105
Huntersville, NC 28078
Phone (704) 494-6832

1011 S Main St
Kernersville, NC 27284
Phone (336) 993-0461

1018 Shoppes At Midway Dr
Ste A
Knightdale, NC 27545
Phone (919) 752-5959

9623 E Independence Blvd
Ste P
Matthews, NC 28105
Phone (704) 321-7150

951 Morrisville Pkwy
Ste 103
Morrisville, NC 27560
Phone (984) 253-1362

5900 Poyner Anchor Ln
Ste 151
Raleigh, NC 27616
Phone (919) 766-8497

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1891571766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BLANKS RD",
            "city": "CLARKTON",
            "state": "NC",
            "postal_code": "284338118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 WALNUT ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189205",
            "telephone_number": "224-310-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.