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Active NPI 1134124308 Individual Practitioner Male Practitioner

Dr. Mark Glenn Mitchell , OD

Optometrist • San Jose, CA

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Mark Mitchell, OD is a registered Optometrist practitioner in San Jose, CA. With approximately 41 years of clinical practice since graduating from University Of California - School Of Optometry in 1985, Dr. Mitchell provides healthcare services at the registered practice location at 678 E SANTA CLARA ST.

Dr. Mitchell accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

678 E Santa Clara St

San Jose, CA 951121931

Telephone 4082932020
Fax 4082710225
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of California - School Of Optometry

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in San Jose, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +18.2 yrs vs City Avg
City Avg: 22.8 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
212 Specialists

Practicing in San Jose, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitchell (41 Years) 41 Yrs
San Jose Specialty Average (22.8 Years) 22.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
15 14 $91.47 $65.11

Medical Specialties & State Licenses

CMS Verified: 2025-06-11
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 8285T

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
SD0082850 (CA)
Commercial Insurance / Payer ID Retired Railroad Medicare
P00122561 (NV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1164473575

Doctor of Optometry

NPI 1629144126

Doctor of Optometry, Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2017

Registered at 678 E SANTA CLARA ST, SAN JOSE, CA 951121931 (Tel: 4082932020)

📍
Updated Business Mailing Address October 27, 2017

Registered at 2425 GOLDEN HILL, STE 106-205, PASO ROBLES, CA 93446 (Tel: 7758488214)

👤
Provider Name / Credentials Updated October 27, 2017

Recorded as MARK MITCHELL, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Optometrist (License #8285T in CA)

📍
Updated Practice Location September 23, 2017

Registered at 678 E SANTA CLARA ST, SAN JOSE, CA 951121931 (Tel: 4082932020)

📍
Updated Business Mailing Address September 04, 2017

Registered at 2425 GOLDEN HILL, STE 106-205, PASO ROBLES, CA 93446 (Tel: 7758488214)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2017

Optometrist (License #8285T in CA)

NPI Profile Active January 13, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2009

Registered at 4600 KIETZKE LN, STE B119, RENO, NV 895025036 (Tel: 7758250506)

📍
Updated Business Mailing Address January 13, 2009

Registered at 4600 KIETZKE LN, STE B119, RENO, NV 895025036 (Tel: 7758250506)

👤
Provider Name / Credentials Updated January 13, 2009

Recorded as MARK MITCHELL, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2009

Optometrist (License #374 in NV)

🟢
Initial NPI Registration & Enumeration June 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134124308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2005
Last Update: June 11, 2025
Sole Proprietor: Yes

Mailing Address

2425 Golden Hill, Ste 106-205

Paso Robles, CA 93446

Phone: 7758488214

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.