DR. MIKE MITCHELL (NPI# 1851362339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851362339 |
| Entity Type | Individual |
| Full Name | DR. MIKE MITCHELL |
| Credential | O.D. |
| Practice Address |
201 E 5900 S Suite 101 Salt Lake City UT 84107-7379 |
| Mailing Address |
328 Center St Salt Lake City UT 84103-1625 |
| Practice Telephone | 8012686600 |
| Practice Fax Number | 8012686602 |
| Mailing Telephone | 8013643749 |
| Mailing Fax Number | 8012686602 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2011-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1138589934 | UT | Eye and Vision Services Providers |
| Street Address |
201 E 5900 S SUITE 101 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-7379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598960585 | Reese John Richards | Technician/Technologist | 201 E 5900 S, Suite 101, Salt Lake City, UT 84107-7379 | 2007-06-19 |
| 1447215173 | Steven Taylor Jackson | Ophthalmology | 201 E 5900 S, Ste 101, Salt Lake City, UT 84107-5428 | 2006-04-18 |
| 1972565216 | Cottonwood Eye & Laser Clinic, P.C. | Ophthalmology | 201 E 5900 S, Suite 101, Salt Lake City, UT 84107-7379 | 2006-04-03 |
| 1467411223 | Alan E. Jackson | Ophthalmology | 201 E 5900 S, Suite 101, Salt Lake City, UT 84107-7379 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532894 | Meagan Miles | Optometrist | 1752 W 400 N Apt B, Salt Lake City, UT 84116-3546 | 2020-06-08 |
| 1811558554 | Ryan Garber | Optometrist | 500 Foothill Dr Salt Lake City Ut 84148, Salt Lake City, UT 84148-0001 | 2019-06-24 |
| 1346703766 | National Vision Inc | Optometrist | 1140 E Brickyard Rd Ste 23, Salt Lake City, UT 84106-2557 | 2019-04-11 |
| 1831664580 | Rocky Mountain Optical and Eye Care LLC | Optometrist | 4400 S 700 E Ste 160, Salt Lake City, UT 84107-3053 | 2018-10-09 |
| 1891216909 | Stephen Nicholas Lundquist | Optometrist | 801 S 800 E, Salt Lake City, UT 84102-3515 | 2017-06-28 |
| 1831546118 | Jeffrey Lynn Simmons | Optometrist | 1919 E Brighton Ridge Dr, Salt Lake City, UT 84121-4886 | 2016-05-17 |
| 1679953400 | Wendy Nguyen | Optometrist | 500 Foothill Drive Salt Lake City, Salt Lake City, UT 84148-0001 | 2015-06-07 |
| 1780063784 | Kaeleen Franson | Optometrist | 250 S 300 E, Salt Lake City, UT 84111-2502 | 2015-05-22 |
| 1942437058 | Michael S Peterson, Od, PC | Optometrist | 1553 Gregson Ave, Salt Lake City, UT 84106-3419 | 2009-06-16 |
| 1427241843 | Paul C Bruderer Od, PC | Optometrist | 339 E 3900 S, Suite 150, Salt Lake City, UT 84107-1677 | 2007-08-20 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on DR. MIKE MITCHELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.