DR. MARK GLENN MITCHELL O.D.
NPI 1134124308
Optometrist in San Jose, CA

Q: What is Mark Mitchell's NPI number?

The NPI number for Mark Mitchell is 1134124308. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Q: What is Mark Mitchell's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Mitchell was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment

678 E SANTA CLARA ST, SAN JOSE, CA 95112(408) 293-2020(408) 271-0225 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jun 11, 2025, Oct 27, 2017, Sep 23, 2017 (3 updates tracked since 2017).

On this page

About Dr. Mark Glenn Mitchell O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK GLENN MITCHELL O.D. (NPI 1134124308) is an individual optometrist in San Jose, California, licensed in California (8285T) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1985).

NPPES Registry Identity

NPI1134124308

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARK GLENN MITCHELLCredential: O.D.

Location Address678 E SANTA CLARA STSan Jose, CA 95112-1931

Mailing Address2425 Golden Hill, Ste 106-205Paso Robles, CA 93446 · (775) 848-8214

Phone(408) 293-2020

Fax(408) 271-0225

Sole ProprietorYes

Medical School CMSUniversity Of California - School Of OptometryGraduated 1985

Enumeration DateJune 15, 2005

Last NPPES UpdateJune 11, 20253 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1134124308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 8285T

Definition

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.

678 E SANTA CLARA ST, San Jose, CA 95112

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Other Identifiers 2

MedicaidSD0082850CA

OtherP00122561NV · Retired Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Glenn Mitchell O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022096619

PECOS Enrollment IDI20050329000591

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$156.67 typical visit price

range $70.37 – $206.04

Typical copayment $39.16 (range $17.59 – $51.51)

Most-billed visit code 99204

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIXTH OPTOMETRIC CARE OF CALIFORNIA PC

Optometrist

678 E SANTA CLARA ST
SAN JOSE, CA 95112

Santa Clara County (408) 293-2020

JORGE A. CUADROS OPTOMETRIC CORP.

Optometrist

678 E SANTA CLARA ST
SAN JOSE, CA 95112

Santa Clara County (408) 293-2020

MARK G MITCHELL OD A PROFESSIONAL CORPORATION

Optometrist

678 E SANTA CLARA ST
SAN JOSE, CA 95112

Santa Clara County (408) 293-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Mitchell's NPI number?

The NPI number for Mark Mitchell is 1134124308. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Mark Mitchell located?

Mark Mitchell practices at 678 E Santa Clara St, San Jose, CA 95112. The listed phone number is (408) 293-2020.

What is Mark Mitchell's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mark Mitchell enrolled in Medicare?

Yes. Mark Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Mitchell accept?

Health plans from Providence Health Plan list Mark Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Mitchell was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.