Mark G. Mitchell, OD, LTD.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

374 Issued in NV

Legal business name

MARK G. MITCHELL, OD, LTD.

Practice address

4600 Kietzke LN Ste B119
Reno, NV 89502-5036

Phone

(775) 825-0506

Fax

(775) 825-0873

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark Mitchell, O.D.

Title

Ceo

Phone

(775) 825-0506

Specialties & licenses 1

Addresses

Tax ID family

Mark G Mitchell OD LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mark G. Mitchell, OD, LTD.

  • Health Service Clinic/Center
  • Reno, NV
  • NPI 1639320179
  NPD tax ID

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1942442918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN STE B119",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025036",
            "telephone_number": "775-825-0506",
            "fax_number": "775-825-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN STE B119",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025036",
            "telephone_number": "775-825-0506",
            "fax_number": "775-825-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G. MITCHELL, OD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-825-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NV",
            "license": "374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca Marini
• Curtis Marino, DO
• Marisa Torch, Ma, MFT
• Mark G. Mitchell, OD, LTD.
• Mark G. Mitchell, OD, LTD.
• Susan Amanda Markcity
• Markendev
• Michael L. Markgraf
• Jay Odell Markin, MD
• Debra Markoff, DDS

• Health Service Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Health Service Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.