DR. EDWIN KYLE MITCHELL O.D.
NPI 1700132719
Optometrist in Hartsville, SC

Q: What is Edwin Mitchell's NPI number?

The NPI number for Edwin Mitchell is 1700132719. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Q: What is Edwin 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 Edwin Mitchell was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 27, 2012PECOS EnrolledAccepts Medicare Assignment

1150 S 4TH ST, HARTSVILLE, SC 29550(843) 857-1999(843) 383-8951 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Edwin Kyle Mitchell O.d. NPPES

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

DR. EDWIN KYLE MITCHELL O.D. (NPI 1700132719) is an individual optometrist in Hartsville, South Carolina, licensed in South Carolina (1696) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1700132719

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. EDWIN KYLE MITCHELLCredential: O.D.

Location Address1150 S 4TH STHartsville, SC 29550-0705

Mailing Address356 Woodlander DrBlythewood, SC 29016-7621 · (803) 776-5363 · Fax (803) 227-8996

Phone(843) 857-1999

Fax(843) 383-8951

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 27, 2012

Last NPPES UpdateMarch 23, 2026

NPPES CertifiedMarch 23, 2026

✔ NPI 1700132719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in SC · 1696

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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 1696 (SC)

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 1696 (SC)

1150 S 4TH ST, Hartsville, SC 29550

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Other Identifiers 3

MedicaidD16962SC

OtherSC3405SC · Medicare Ptan Hv

OtherSC0144SC · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Louisiana and more.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. Edwin Kyle 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 ID8325290042

PECOS Enrollment IDI20121204000185

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.

Areas of Expertise CMS Part B claims 2

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.

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

69 services69 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29550 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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 9

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

MIKAYLAH KIARA WINGATE

Technician/Technologist (Optician)