Mitchell, David

Mitchell, David is an sole proprietor health care provider with primary practice located at 425 Saint Mary St , Thibodaux LA 70301-2641. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Mitchell, David can be contacted via phone (985) 447-2393.

Contact Information

Primary practice address
425 Saint Mary St Thibodaux LA 70301-2641
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1411-553T Louisiana
Eye and Vision Services Providers / Pediatrics 152WP0200X 1411-553T Louisiana
Eye and Vision Services Providers / Vision Therapy 152WV0400X 1411-553T Louisiana
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1411-553T Louisiana
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1411-553T Louisiana

Profile Details

NPI number 1912908658
LBN Legal business name Mitchell, David
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Dec 2nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912908658 NPPES
Louisiana MEDICAID 1507032

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