DR. MARK GLENN MITCHELL (NPI# 1134124308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134124308 |
| Entity Type | Individual |
| Full Name | DR. MARK GLENN MITCHELL |
| Credential | O.D. |
| Practice Address |
678 E Santa Clara St San Jose CA 95112-1931 |
| Mailing Address |
2425 Golden Hill Ste 106-205 Paso Robles CA 93446 |
| Practice Telephone | 4082932020 |
| Practice Fax Number | 4082710225 |
| Mailing Telephone | 7758488214 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2017-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 8285T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0082850 | 05 | |
| NV | RETIRED RAILROAD MEDICARE | P00122561 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336552462 | Mark Mitchell | Counselor | 119 E Center St Ste B6, Warsaw, IN 46580-2849 | 2014-06-05 |
| 1720267917 | Mark Mitchell | Counselor | 2945 S Brentwood Blvd, Saint Louis, MO 63144-2713 | 2007-10-24 |
| 1013107499 | Mark Anthony Mitchell | Military Health Care Provider | 1140 Kellum Loop Rd, #36, Jacksonville, NC 28546-3321 | 2007-07-31 |
| 1972729937 | Mark R Mitchell | Radiology | 2001 N. Solar Dr., Suite 135, Oxnard, CA 93036 | 2007-04-18 |
| 1194881177 | Mark T Mitchell | Dentist | 10 Orchard St, Walden, NY 12586-1802 | 2006-12-28 |
| 1679675185 | Mark Archer Mitchell | Dentist | 1941 S Ohio St, Salina, KS 67401-6602 | 2006-09-04 |
| 1003833633 | Mark Anthony Mitchell | Emergency Medicine | 6800 Broken Sound Pkwy Nw, Ste 150a, Boca Raton, FL 33487-5709 | 2006-07-17 |
| 1053364307 | Mark Anthony Mitchell | Social Worker | 279 Summit Dr, Waterford, MI 48328-3364 | 2006-05-18 |
| 1689634479 | Mark Edward Mitchell | Family Medicine | 2960 Tongass Avenue, Ketchikan, AK 99901-5742 | 2006-03-24 |
| 1225009020 | Mark Mitchell | Obstetrics & Gynecology | 110 Irving St Nw Rm 5b-18, Dept. of Ob/gyn, Washington, DC 20010-3017 | 2006-01-30 |
| Street Address |
678 E SANTA CLARA ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95112-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439674 | Nidha Nathani | Optometrist | 678 E Santa Clara St, San Jose, CA 95112-1931 | 2019-10-23 |
| 1962911438 | Mark G Mitchell Od A Professional Corporation | Optometrist | 678 E Santa Clara St, San Jose, CA 95112-1931 | 2017-09-27 |
| 1770814196 | Jorge A. Cuadros Optometric Corp. | Optometrist | 678 E Santa Clara St, San Jose, CA 95112-1931 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443407 | Khady Fall | Behavior Technician | 408 494 1561, 614 Tully Road, San Jose, CA 95112 | 2020-07-02 |
| 1538791124 | Vianey Martinez | Social Worker | 290 N Second Street, San Jose, CA 95112 | 2020-02-11 |
| 1083254262 | Tessa Dobrin Zapalac | Behavior Technician | 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 | 2020-01-15 |
| 1508404716 | Emilie Caitlin Leach | Counselor | 290 N 2nd St, San Jose, CA 95112 | 2019-12-18 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1386288017 | Path (people Assisting The Homeless) | Case Manager/Care Coordinator | 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 | 2019-11-06 |
| 1316588528 | Loralee Crystal Garcia | Technician | 546 N. 3rd Street #7, San Jose, CA 95112 | 2019-09-30 |
| 1306316922 | Patricia Calatraba Swofford | Marriage & Family Therapist | 232 E. Gish Rd., San Jose, CA 95112 | 2018-11-27 |
| 1134606932 | Ana Alicia Castro-banderas | Social Worker | 160 E Virginia St., Suite 100, San Jose, CA 95112 | 2018-07-24 |
| 1275035750 | Theresa Khong | Behavior Technician | 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 | 2018-03-01 |
| Find all providers in zip 95112 | ||||
| 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 |
|---|---|---|---|---|
| 1639796998 | Jamie Ann Ngo | Optometrist | 1141 Di Napoli Dr, San Jose, CA 95129-4014 | 2020-07-02 |
| 1104319185 | Hien Anh Nguyen | Optometrist | 1055 E Brokaw Rd Ste 50, San Jose, CA 95131-2318 | 2018-06-13 |
| 1285121723 | Mai-anh Chtn Nguyen, O.d., Inc | Optometrist | 1661 Burdette Dr Ste H, San Jose, CA 95121-1681 | 2018-04-19 |
| 1407367923 | Justina Cho | Optometrist | 2272 Hendy Ln, San Jose, CA 95124-4415 | 2017-10-24 |
| 1326562794 | Melissa Lau | Optometrist | 1183 S De Anza Blvd Ste 50, San Jose, CA 95129-3659 | 2017-07-27 |
| 1447789623 | San Jose Eye Care Optometry Professional Corporation | Optometrist | 301 N. Jackson Ave #1, San Jose, CA 95133 | 2017-06-09 |
| 1508304080 | Anjie Angela Zheng | Optometrist | 2110 Forest Ave Ste B, San Jose, CA 95128-1469 | 2017-02-06 |
| 1427592773 | Yunwei Chang | Optometrist | 3845 Evangelho Cir, San Jose, CA 95148-4374 | 2016-12-06 |
| 1598118325 | Han Duong Optometry, Inc | Optometrist | 630 Blossom Hill Rd Ste 20, San Jose, CA 95123-3056 | 2016-07-17 |
| 1457705808 | Dzuy V Bi | Optometrist | 2670 S White Rd Ste 200, San Jose, CA 95148 | 2016-04-21 |
| Find all providers in SAN JOSE | ||||
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| 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.