Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811139462 Individual Practitioner Male Practitioner

Edward Mitchell , LDO

Eyewear Supplier • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Edward Mitchell, LDO is a registered healthcare professional specializing in Eyewear Supplier in Crestview, FL. Practice services are available at 4100 S FERDON BLVD STE B5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 S Ferdon Blvd Ste B5

Crestview, FL 325365287

Telephone 8507580474
Fax 8506820057
Associated Practice Facility / Clinic
🏢 Cabana Eyes Optical Facility NPI 1154867554

Specialty Benchmarks & Practice Insights

Comparative analytics for Eyewear Supplier in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Crestview, FL (5 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Eyewear Supplier Primary Specialty

NUCC Taxonomy Code: 332H00000X

State License FL DO5539

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Technician/Technologist - Contact Lens Fitter

NUCC Taxonomy Code: 156FC0801X

State License FL DO 5539

An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

Technician/Technologist - Optician

NUCC Taxonomy Code: 156FX1800X

State License FL DO 5539

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Technician/Technologist - Optician

NUCC Taxonomy Code: 156FX1800X

State License FL 5539

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Irs
80-0442282

Secondary Practice Locations

4724 Whitewater Ln

Crestview, FL 325395725

Phone: 8508260698

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2019

Technician/Technologist (License #DO 5539 in FL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2019

Technician/Technologist (License #5539 in FL)

📍
Updated Practice Location July 29, 2019

Registered at 4100 S FERDON BLVD STE B5, CRESTVIEW, FL 325365287 (Tel: 8507580474)

📍
Updated Business Mailing Address July 29, 2019

Registered at 4100 S FERDON BLVD STE B5, CRESTVIEW, FL 325365287 (Tel: 8507580474)

NPI Profile Active March 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2009

Registered at 4724 WHITEWATER LN, CRESTVIEW, FL 325395725 (Tel: 8508260698)

📍
Updated Business Mailing Address March 28, 2009

Registered at 4724 WHITEWATER LN, CRESTVIEW, FL 325395725 (Tel: 8508260698)

👤
Provider Name / Credentials Updated March 28, 2009

Recorded as EDWARD MITCHELL, LDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2009

Technician/Technologist (License #DO 5539 in FL)

🟢
Initial NPI Registration & Enumeration March 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Edward Mitchell. Be the first to share your experience!

Sign in to leave a review for Edward Mitchell

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1811139462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2009
Last Update: October 15, 2019
Sole Proprietor: Yes

Mailing Address

4100 S Ferdon Blvd Ste B5

Crestview, FL 325365287

Phone: 8507580474

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.