DR. MARK CHANDLER MITCHUM (NPI# 1326087461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326087461 |
| Entity Type | Individual |
| Full Name | DR. MARK CHANDLER MITCHUM |
| Credential | OD |
| Practice Address |
2648 Lee Avenue Sanford NC 27332-5950 |
| Mailing Address |
428 Chandler Grant Dr Cary NC 27519-8838 |
| Practice Telephone | 9197755221 |
| Practice Fax Number | 9197757655 |
| Mailing Telephone | 3365246604 |
| Mailing Fax Number | 3365246579 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1270 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89093N1 | 05 | |
| NC | BCBSNC | 093N1 | 01 |
| Street Address |
2648 LEE AVENUE |
| City | SANFORD |
| State | NC |
| Zip Code | 27332-5950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174564538 | Mark C Mitchum Od | Optometrist | 2648 Lee Avenue, Sanford, NC 27332-5950 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932629847 | Jessica Lane Phillips | Specialist/Technologist | 17 Cypress Creek Farm Rd, Sanford, NC 27332 | 2017-06-21 |
| 1033557012 | Krishawn Davis-darby | Student in an Organized Health Care Education/Training Program | 5593 Olivia Rd, Sanford, NC 27332 | 2013-06-12 |
| 1144593898 | Fetima Marie Wellington | Counselor | 310 Timberline Dr, Sanford, NC 27332 | 2012-02-10 |
| 1740588383 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1655 Buffalo Lake Road, Sanford, NC 27332 | 2011-03-07 |
| 1912057282 | Susan Kay Byerly | Psychologist | 226 E Trade St, Sanford, NC 27332 | 2007-01-11 |
| 1265503601 | David A Edrington Dds Pa | Dentist | 420 West Main Street, Sanford, NC 27332 | 2006-11-09 |
| 1396840625 | Knecht Chiropractic Center PC | Chiropractor | 2631 South Horner Boulevard, Sanford, NC 27332 | 2006-09-13 |
| 1861446338 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 310 Commerce Drive, Sanford, NC 27332 | 2006-05-20 |
| 1700863271 | Vincent Paul Vissichelli | Dentist | 73 Pineridge Cove, Sanford, NC 27332 | 2005-12-27 |
| 1992787832 | Tenet Central Carolina Physicians Inc | Internal Medicine | 4546 Hwy 87 S, Sanford, NC 27332 | 2005-11-16 |
| Find all providers in zip 27332 | ||||
| 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 |
|---|---|---|---|---|
| 1851836761 | Truesight Eye Care Pa | Optometrist | 5420 Factors Walk Dr, Sanford, FL 32771-8526 | 2016-12-31 |
| 1780956805 | Ryan W Schott | Optometrist | 5220 Maxon Ter, Sanford, FL 32771-5440 | 2012-02-05 |
| 1588970792 | Lethu T Truong | Optometrist | 203 Seminole Towne Center Circle, #p-8, Sanford, FL 32771-7409 | 2010-08-25 |
| 1215185863 | Lauren Parrish Williams | Optometrist | 1829 Doctors Dr, Sanford, NC 27330-5067 | 2008-09-08 |
| 1386830701 | Sanford Optometric Od Pa | Optometrist | 1829 Doctors Drive, Sanford, NC 27330-5067 | 2007-09-19 |
| 1972794873 | Eye Doctors Optical Outlets Pa | Optometrist | 224 Towne Center Cir # J-07, Sanford, FL 32771-7409 | 2007-08-06 |
| 1588707541 | B and D Eyeworks | Optometrist | 203 Seminole Town Center Circle, Sanford, FL 32771 | 2007-02-15 |
| 1174683106 | Marcus Peter Frutchey IIi | Optometrist | 157 Towne Center Blvd, Sanford, FL 32771-7404 | 2006-12-11 |
| 1184794612 | Josie Velasco | Optometrist | 3661 S Orlando Dr, Sanford, FL 32773-5611 | 2006-11-09 |
| 1932279288 | Katherine H. Johnson Od | Optometrist | 3000 S Horner Blvd, Sanford, NC 27332-9644 | 2006-11-08 |
| Find all providers in SANFORD | ||||
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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.