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MITCHELL D BROCKETT OD
NPI 1871577593
Optometrist in Port Orchard, WA

Active since December 06, 2005PECOS Enrolled
2914 MITCHELL RD SE, PORT ORCHARD, WA 98366(360) 874-2020(360) 874-0567 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mitchell D Brockett Od NPPES

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

MITCHELL D BROCKETT OD (NPI 1871577593) is an individual optometrist in Port Orchard, Washington, licensed in Washington (3652) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2001).

NPPES Registry Identity

NPI1871577593
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMITCHELL D BROCKETTCredential: OD
Location Address2914 MITCHELL RD SEPort Orchard, WA 98366-4428
Mailing Address2914 Mitchell Rd SePort Orchard, WA 98366-4428 · (360) 874-2020 · Fax (360) 874-0567
Phone(360) 874-2020
Fax(360) 874-0567
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 2001
Enumeration DateDecember 6, 2005
Last NPPES UpdateSeptember 20, 2013
✔ NPI 1871577593 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 WA · 3652
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.
2914 MITCHELL RD SE, Port Orchard, WA 98366
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Other Identifiers 1

Medicare UPINAB25303WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell D Brockett Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264413475
PECOS Enrollment IDI20040526000286
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mitchell Brockett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Port Orchard Eyecare Centers Inc, Ps
1.1 mi
Optometrist
1703 SEDGWICK RD, STE 111
Port Orchard, WA 98366
  • Reassigned Medicare billing, Washington enrollment
  • 5 clinicians in this Medicare group
NPI 1326111501 (360) 874-2020
Kingston Eyecare Center, LLC
20 mi
Optometrist
25989 BARBER CUT OFF RD NE
Kingston, WA 98346
  • Reassigned Medicare billing, Washington enrollment
  • 3 clinicians in this Medicare group
NPI 1134293228 (360) 297-2844

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 8

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.

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.
226 services225 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
151 services149 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
57 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services44 patients
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.
38 services38 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98366 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 2

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

NORMAN J COLLINS D.C.
Chiropractor
2914 MITCHELL RD SE
PORT ORCHARD, WA 98366
Kitsap County (360) 876-6888
DR. SARA ELIZABETH JONES LOW OD
Optometrist
2914 MITCHELL RD SE
PORT ORCHARD, WA 98366
Kitsap County (360) 874-2020

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 Mitchell Brockett's NPI number?

The NPI number for Mitchell Brockett is 1871577593. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Mitchell Brockett located?

Mitchell Brockett practices at 2914 Mitchell Rd SE, Port Orchard, WA 98366. The listed phone number is (360) 874-2020.

What is Mitchell Brockett's specialty?

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

Is Mitchell Brockett enrolled in Medicare?

Yes. Mitchell Brockett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mitchell Brockett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Brockett reassigns Medicare benefits to 2 organizations: Port Orchard Eyecare Centers Inc, Ps (Port Orchard, WA) and Kingston Eyecare Center, LLC (Kingston, WA). 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 Brockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mitchell Brockett accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mitchell Brockett 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 Brockett was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.