NPIMap

Organization Active NPI

Mitchell Eye Center DRS. Mitchell, Mitchell & Assoc, Optometrists P.a.

Doing business as Mitchell Eye Center

  • Optometrist
  • Goldsboro, NC
National Provider Identifier
1922003136
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MITCHELL EYE CENTER DRS. MITCHELL, MITCHELL & ASSOC, OPTOMETRISTS P.A.
Doing business as
Mitchell Eye Center
Practice address
515 North Spence Avenue
Goldsboro, NC 27534
Phone
(919) 778-7110
Fax
(919) 778-6057
NPI assigned
Jun 15, 2005
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Dr. William Earl Mitchell, ODNPI 1477557007
Title
Owner
Phone
(919) 778-7110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

515 North Spence Avenue
Goldsboro, NC 27534

Mailing address

515 North Spence Avenue
Goldsboro, NC 27534
Phone (919) 778-7110

Other names 1

  • Mitchell Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000987 NC Part B Supplier - Clinic/Group Practice 4284522608 Receives reassigned benefits from 3 practitioners
Practice locations: Goldsboro, NC

National Provider Directory

National Provider Directory

Locations

1201 W Vernon Ave
Ste C
Kinston, NC 28501
Phone (252) 939-4200

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1922003136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NORTH SPENCE AVENUE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27534",
            "telephone_number": "919-778-7110",
            "fax_number": "919-778-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NORTH SPENCE AVENUE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27534",
            "telephone_number": "919-778-7110",
            "fax_number": "919-778-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL EYE CENTER DRS. MITCHELL, MITCHELL & ASSOC, OPTOMETRISTS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-778-7110",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Mitchell Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.