Mr. Edward Mitchell Jr. is a Crestview, Florida based male eyecare provider who is specialized as Contact Lens Fitter - Technician. He has professional credentials of LDO. Active license number of Mr. Edward Mitchell Jr. is DO5539 Mr. Edward Mitchell Jr. is authorized by state law and trained / certified to fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. A Contact Lens Fitter major clinical duties involve contact lenses fitting based on the prescription of an optometrist or ophthalmologist.
Complete Profile:
Mr. Edward Mitchell Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Contact Lens Fitter - Technician
Credentials:
LDO
Gender:
Male
Practice Address:
4100 S Ferdon Blvd Ste B5, Crestview, Florida, 32536-5287
Phone:
850-758-0474
Fax:
850-682-0057
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1811139462
NPI Enumeration Date:
28 Mar, 2009
NPI Last Update On:
15 Oct, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Edward Mitchell Jr. are as mentioned below.
License Number
Specialization
State
Status
DO5539
Florida
Primary
DO 5539
Contact Lens Fitter - Technician
Florida
Secondary
DO 5539
Optician
Florida
Secondary
5539
Optician
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Edward Mitchell Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
80-0442282
Other
IRS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4100 S Ferdon Blvd Ste B5, Crestview, Florida
Zip:
32536-5287
Phone Number:
850-758-0474
Fax Number:
850-682-0057
Patients can reach Mr. Edward Mitchell Jr. at 4100 S Ferdon Blvd Ste B5, Crestview, Florida or can call to book an appointment on 850-758-0474. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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