MITCHELL J MAYO (NPI# 1497990113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497990113 |
| Entity Type | Organization |
| Organization Name | MITCHELL J MAYO |
| Other Organization Name | MAYO OCULAR PROSTHETICS |
| Practice Address |
2627 Redwing Rd Ste 210 Fort Collins CO 80526-6321 |
| Mailing Address |
2155 Hollow Brook Dr Ste 40 Colorado Springs CO 80918-1451 |
| Practice Telephone | 9702046860 |
| Practice Fax Number | 7192726408 |
| Mailing Telephone | 7192726416 |
| Mailing Fax Number | 7192726408 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | MITCHELL MAYO (OWNER) |
| Authorized Official Telephone | 7192726416 |
| Authorized Official Credential | BCO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Mayo Ocular Prosthetics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730366808 | Mitchell J Mayo | Technician/Technologist | 2155 Hollow Brook Dr, Ste 40, Colorado Springs, CO 80918-1451 | 2008-01-30 |
| Street Address |
2627 REDWING RD STE 210 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255393765 | Kingdon Kibble Brady | Dentist | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2006-04-03 |
| 1992161129 | Craniofacial Pain & Sleep Center, Pllc | Durable Medical Equipment & Medical Supplies | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2016-01-04 |
| 1538575014 | Rachel Hargrove | Massage Therapist | 2627 Redwing Rd, Suite 350, Fort Collins, CO 80526-6321 | 2014-07-07 |
| 1033475884 | Sarah Higgins | Counselor | 2627 Redwing Rd, Suite 225, Fort Collins, CO 80526-6321 | 2012-04-05 |
| 1336446475 | Craniofacial Pain and Sleep Center | Durable Medical Equipment & Medical Supplies | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2011-02-25 |
| 1154417921 | Vickie L Bohlender | Durable Medical Equipment & Medical Supplies | 2627 Redwing Rd, Suite 220a, Fort Collins, CO 80526-6321 | 2006-10-05 |
| 1548368194 | Justin W Thole | Chiropractor | 2627 Redwing Rd, Suite 235, Fort Collins, CO 80526-6321 | 2006-09-20 |
| 1922066562 | Richard H Keller | Dentist | 2627 Redwing Rd, Suite 300, Fort Collins, CO 80526-6321 | 2006-05-03 |
| 1598727224 | Nara Schramm | Acupuncturist | 2627 Redwing Rd, Suite 235, Fort Collins, CO 80526-6321 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073549226 | Mitchell J Mayo | Technician/Technologist | 2155 Hollow Brook Dr, Ste 40, Colorado Springs, CO 80918-1451 | 2006-06-22 |
| 1730366808 | Mitchell J Mayo | Technician/Technologist | 2155 Hollow Brook Dr, Ste 40, Colorado Springs, CO 80918-1451 | 2008-01-30 |
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on MITCHELL J MAYO.
| 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.