MITCHELL JAY STYCZYNSKI OD
NPI 1336711373
Optometrist in Hanover, NH
About Mitchell Jay Styczynski Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL JAY STYCZYNSKI OD (NPI 1336711373) is an individual optometrist in Hanover, New Hampshire, licensed in New Hampshire (1059) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in White River Junction, and is a graduate of Ohio State University - College Of Optometry (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mitchell Jay Styczynski Od 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mitchell Styczynski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
White River Junction, VT 05001
- Reassigned Medicare billing, New Hampshire enrollment
- 3 clinicians in this Medicare group
White River Junction, VT 05001
- Reassigned Medicare billing, New Hampshire enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03755 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mitchell Styczynski's NPI number?
The NPI number for Mitchell Styczynski is 1336711373. It was assigned to this individual provider in the NPPES registry on July 10, 2021.
Where is Mitchell Styczynski located?
Mitchell Styczynski practices at 45 Lyme Rd Ste 201, Hanover, NH 03755. The listed phone number is (603) 643-2140.
What is Mitchell Styczynski's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mitchell Styczynski enrolled in Medicare?
Yes. Mitchell Styczynski 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.
Which organizations bill Medicare for Mitchell Styczynski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Styczynski reassigns Medicare benefits to 2 organizations: Dufour Vision Care PLLC (White River Junction, VT) and White River Family Eyecare, PC (White River Junction, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitchell Styczynski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mitchell Styczynski accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Mitchell Styczynski 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 Mitchell Styczynski was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Mitchell Jay Styczynski, OD · NPI 1336711373
Optometrist provider in Hanover, New Hampshire. Individual provider, active in the CMS NPPES registry since July 10, 2021.
## Identity
- **NPI:** 1336711373 (Entity type: Individual)
- **Enumerated:** July 10, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 1059 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 45 LYME RD STE 201, Hanover, NH 03755-1260
- **Phone:** (603) 643-2140
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dufour Vision Care PLLC (NPI 1366257990, White River Junction, VT); White River Family Eyecare, PC (NPI 1104878206, White River Junction, VT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University - College Of Optometry, class of 2021
## Record status
- **NPPES last updated:** June 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336711373) · Data from the CMS NPPES public registry.