BUENA VISTA EYECARE GROUP OPTOMETRY
NPI 1962911438
Optometrist in San Jose, CA

Q: What is Mark G Mitchell Od A Professional Corporation's specialty?

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

Active since September 27, 2017

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

NPPES record last updated: September 27, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Buena Vista Eyecare Group Optometry NPPES

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

BUENA VISTA EYECARE GROUP OPTOMETRY (NPI 1962911438) is a healthcare organization registered as an optometrist in San Jose, California and active in the NPI registry since September 2017. The organization lists Mark Glenn Mitchell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962911438

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMARK G MITCHELL OD A PROFESSIONAL CORPORATION

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

Mailing Address2130 Presidio WaySan Miguel, CA 93451-9038 · (775) 848-8214

Phone(408) 293-2020

Organization SubpartNo

Authorized OfficialMark Glenn MitchellCeo · (775) 848-8214

Enumeration DateSeptember 27, 2017

✔ NPI 1962911438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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 Names 1

Doing Business AsBuena Vista Eyecare Group Optometry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Buena Vista Eyecare Group Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Buena Vista Eyecare Group Optometry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Mitchell, O.D.

Optometry

NPI 1134124308

678 E SANTA CLARA ST
San Jose, CA 95112

(408) 293-2020

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 G Mitchell Od A Professional Corporation's NPI number?

The NPI number for Mark G Mitchell Od A Professional Corporation is 1962911438. It was assigned to this organization in the NPPES registry on September 27, 2017. The provider is doing business as Buena Vista Eyecare Group Optometry.

Where is Mark G Mitchell Od A Professional Corporation located?

Mark G Mitchell Od A Professional Corporation is located at 678 E Santa Clara St, San Jose, CA 95112. The listed phone number is (408) 293-2020.

What is Mark G Mitchell Od A Professional Corporation's specialty?

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

Is Mark G Mitchell Od A Professional Corporation enrolled in Medicare?

Yes. Mark G Mitchell Od A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark G Mitchell Od A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Mark G Mitchell Od A Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mark G Mitchell Od A Professional Corporation accept?

Health plans from BlueCross BlueShield of Tennessee list Mark G Mitchell Od A Professional Corporation 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 G Mitchell Od A Professional Corporation was last updated on September 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.