Active NPI
Mitchell Reinholt, OD, LLC
- Optometrist
- Warsaw, IN
National Provider Identifier
1952936973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MITCHELL REINHOLT, OD, LLC
- Practice address
- 3301 E Center Street Ext
Warsaw, IN 46582-3909 - Phone
- (574) 269-3828
- Fax
- (574) 269-3848
- NPI assigned
- Mar 10, 2020
- Last updated
- Mar 10, 2020
- 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
- Mitchell S Reinholt, OD
- Title
- Owner
- Phone
- (574) 269-3848
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3301 E Center Street Ext
Warsaw, IN 46582-3909
Mailing address
3301 E Center Street Ext
Warsaw, IN 46582-3909
Phone (574) 269-3828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3301 E Center Street Ext
Warsaw, IN 46582
Phone (574) 269-3828
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Optometrist
- Warsaw, IN
- NPI 1558700690
-
- Optometrist
- Fort Wayne, IN
- NPI 1477547628
-
- Optometrist
- Warsaw, IN
- NPI 1972528123
-
- Optometrist
- Warsaw, IN
- NPI 1578595336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583798400000",
"number": "1952936973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 E CENTER STREET EXT",
"city": "WARSAW",
"state": "IN",
"postal_code": "465823909",
"telephone_number": "574-269-3828",
"fax_number": "574-269-3848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 E CENTER STREET EXT",
"city": "WARSAW",
"state": "IN",
"postal_code": "465823909",
"telephone_number": "574-269-3828",
"fax_number": "574-269-3848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL REINHOLT, OD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A",
"authorized_official_last_name": "REINHOLT",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-269-3848",
"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": []
}
Other providers in Warsaw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.