MR. EDWARD MITCHELL JR. LDO
NPI 1811139462
Eyewear Supplier in Crestview, FL

Q: What is Edward Mitchell's NPI number?

The NPI number for Edward Mitchell is 1811139462. It was assigned to this individual provider in the NPPES registry on March 28, 2009.

Q: What is Edward Mitchell's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Mitchell was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 28, 2009

4100 S FERDON BLVD STE B5, CRESTVIEW, FL 32536(850) 758-0474(850) 682-0057 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2019, Oct 9, 2019, Oct 1, 2019 and 3 more (6 updates tracked since 2019).

On this page

About Mr. Edward Mitchell Jr. Ldo NPPES

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

MR. EDWARD MITCHELL JR. LDO (NPI 1811139462) is an individual eyewear supplier provider in Crestview, Florida, licensed in Florida (DO5539) and active in the NPI registry since March 2009. He maintains a secondary practice location in Crestview.

NPPES Registry Identity

NPI1811139462

Entity TypeIndividualMale

Primary Taxonomy332H00000X

Provider Legal NameMR. EDWARD MITCHELL JR.Credential: LDO

Location Address4100 S FERDON BLVD STE B5Crestview, FL 32536-5287

Mailing Address4100 S Ferdon Blvd Ste B5Crestview, FL 32536-5287 · (850) 758-0474 · Fax (850) 682-0057

Phone(850) 758-0474

Fax(850) 682-0057

Sole ProprietorYes

Enumeration DateMarch 28, 2009

Last NPPES UpdateOctober 15, 20196 updates tracked since enumeration

✔ NPI 1811139462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

License✔ Licensed in FL · DO5539

Definition

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

Also ListedTechnician/Technologist · Contact Lens FitterTaxonomy 156FC0801X · License DO 5539 (FL)

Also ListedTechnician/Technologist · OpticianTaxonomy 156FX1800X · License DO 5539 (FL), 5539 (FL)

4100 S FERDON BLVD STE B5, Crestview, FL 32536

Open in Google Maps ↗

Secondary Practice Location 1

Location 14724 Whitewater LnCrestview, FL 32539-5725 · Phone (850) 826-0698 · Fax (850) 423-0142

Other Identifiers 1

Other80-0442282Irs

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 Edward Mitchell's NPI number?

The NPI number for Edward Mitchell is 1811139462. It was assigned to this individual provider in the NPPES registry on March 28, 2009.

Where is Edward Mitchell located?

Edward Mitchell practices at 4100 S Ferdon Blvd Ste B5, Crestview, FL 32536. The listed phone number is (850) 758-0474.

What is Edward Mitchell's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Edward Mitchell was last updated on October 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.