Active NPI
Mitchell Eye Center DRS. Mitchell, Mitchell & Assoc, Optometrists P.a.
- Optometrist
- Goldsboro, NC
National Provider Identifier
1922003136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MITCHELL EYE CENTER DRS. MITCHELL, MITCHELL & ASSOC, OPTOMETRISTS P.A.
- Practice address
- 515 North Spence Avenue
Goldsboro, NC 27534 - Phone
- (919) 778-7110
- Fax
- (919) 778-6057
- NPI assigned
- Jun 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Earl Mitchell, OD
- Title
- Owner
- Phone
- (919) 778-7110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89-0907E | Medicaid | NC | |
| 0907E | Other | NC | BCBS |
| DA3706 | Other | NC | MEDICARE RAILROAD |
Other names 1
- Mitchell Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1201 W Vernon Ave
Ste C
Kinston, NC 28501
Phone (252) 939-4200
100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Goldsboro, NC
- NPI 1710085188
-
- Optometrist
- Goldsboro, NC
- NPI 1285661728
-
- Optometrist
- Goldsboro, NC
- NPI 1518290659
-
- Optometrist
- Clayton, NC
- NPI 1699351346
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-0907E",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0907E",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DA3706",
"state": "NC"
}
],
"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.