MAYNOR & MITCHELL OPTICAL SHOP LLC (NPI# 1578589107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578589107 |
| Entity Type | Organization |
| Organization Name | MAYNOR & MITCHELL OPTICAL SHOP LLC |
| Practice Address |
3501 Memorial Pkwy Sw Ste 200 Huntsville AL 35801-6901 |
| Practice Telephone | 2565330315 |
| Practice Fax Number | 2565360360 |
| Mailing Telephone | 2565330315 |
| Mailing Fax Number | 2565360360 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-05-28 |
| Authorized Official Name | WILLIAM N MITCHELL (OWNER) |
| Authorized Official Telephone | 2565330315 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | MD21789 | AL | Suppliers |
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS PROVIDER NUMBER | 51511477 | 01 |
| AL | 529916870 | 05 |
| Street Address |
3501 MEMORIAL PKWY SW STE 200 |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811038227 | Visionmaster, Inc. | Eyewear Supplier (Equipment, not the service) | 964 Airport Rd Sw, Suite 12, Huntsville, AL 35802-1393 | 2007-02-09 |
| 1306998398 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6275 University Dr, Huntsville, AL 35806-1776 | 2007-01-18 |
| 1346391349 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2750 Carl T Jones Dr, Huntsville, AL 35802-4913 | 2007-01-16 |
| 1578637906 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 5901 University Dr, Madison Square Mall, Huntsville, AL 35806-2506 | 2006-11-18 |
| 1215006820 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2801 Memorial Pkwy Sw Ste 193, Huntsville, AL 35801 | 2006-11-07 |
| 1366531436 | Eyemasters Inc | Eyewear Supplier (Equipment, not the service) | 5901 University Drive, Huntsville, AL 35806 | 2006-10-12 |
| 1215968466 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 3030 Memorial Pkwy Sw, Stadium Place Shopping Ctr, Huntsville, AL 35801-5372 | 2006-07-05 |
| 1710927942 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 3220 Acton Rd Ste 12, Redstone Arsenal Exhange, Huntsville, AL 35808-1328 | 2006-06-07 |
| 1275927311 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1205 Memorial Pkwy Nw, Huntsville, AL 35801-5930 | 2015-03-26 |
| 1699173641 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 6125 University Dr Nw, D-12, Huntsville, AL 35806-1757 | 2014-12-08 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on MAYNOR & MITCHELL OPTICAL SHOP LLC.
| 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.