Organization Active NPI

Mitchell Eye Care, PLLC

  • Optometrist
  • Starkville, MS
National Provider Identifier
1972002137
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MITCHELL EYE CARE, PLLC
Practice address
450 Highway 12 W
Starkville, MS 39759
Phone
(662) 546-4306
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Jessica Mitchell
Title
Manager
Phone
(662) 546-4306

Specialties & licenses 1

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

Addresses

Primary practice location

450 Highway 12 W
Starkville, MS 39759

Mailing address

PO Box 59
Starkville, MS 39760-0059
Phone (662) 546-4306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180308001929 MS Part B Supplier - Clinic/Group Practice 8123389129 Receives reassigned benefits from 2 practitioners
Practice locations: Starkville, MS

National Provider Directory

National Provider Directory

Locations

450 Highway 12 W
Ste D
Starkville, MS 39759
Phone (601) 670-1834

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1972002137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397600059",
            "telephone_number": "662-546-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 HIGHWAY 12 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-546-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-546-4306"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.