Active NPIIndividual providerSole proprietor

Dr. Shannon H Mitchell, OD

Optometrist in Waitsfield, Vermont

NPI Number1144551797
Practice location
5274 Main St Ste 1, Waitsfield, VT 05673-4445
Fax
802-496-9500
Last updated
October 18, 2018

Shannon Hawkley Mitchell is an Optometrist based in Waitsfield, VT. Shannon Hawkley Mitchell practices in Waitsfield, VT and has the professional credentials of OD. The NPI Number for Shannon Hawkley Mitchell is 1144551797 and holds a License No. 030.0068209 (VT). The current practice location address for Shannon Hawkley Mitchell is 5274 Main St Ste 1, Waitsfield, VT 05673-4445 and can be reached out via phone at 802-448-6988 and via fax at 802-496-9500.

Provider Profile Details

NPI Number
1144551797
Provider Name
Shannon Hawkley Mitchell
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
5274 Main St Ste 1, Waitsfield, VT 05673-4445
Phone Number
802-448-6988
Fax Number
802-496-9500
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 21, 2010
Last Update Date
October 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
5274 Main St Ste 1
Waitsfield, VT 05673-4445
State
Vermont
Zip
05673-4445
Phone Number
802-448-6988
Fax Number
802-496-9500
Waitsfield, VT 05673Get directions →

Provider Business Mailing Address Details

Address
5274 Main St Ste 1
Waitsfield, VT 05673-4445
City
Waitsfield
State
VT
Zip
05673-4445
Phone Number
802-448-6988
Fax Number
802-496-9500

License Information

License Number (1)
030.0068209
License State (1)
VT
License Number (2)
030.0068209
License State (2)
VT
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shannon H Mitchell, OD?

The NPI number of Dr. Shannon H Mitchell, OD is 1144551797. It was assigned on January 21, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Shannon H Mitchell, OD?

Dr. Shannon H Mitchell, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in VT under license number 030.0068209.

Where does Dr. Shannon H Mitchell, OD practice?

The practice location is 5274 Main St Ste 1, Waitsfield, VT 05673-4445. The office can be reached at 802-448-6988 (phone) or 802-496-9500 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144551797 directly on the NPPES registry website.

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