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Individual
DR. DAVID MITCHELL
Active
Individual
DR. DAVID MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1411-553T
LA
152WC0802X
Corneal and Contact Management Optometrist
1411-553T
LA
152WL0500X
Low Vision Rehabilitation Optometrist
1411-553T
LA
152WP0200X
Pediatric Optometrist
1411-553T
LA
152WV0400X
Vision Therapy Optometrist
1411-553T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507032
—
LA
Enumeration date
08/03/2005
Last updated
12/02/2016
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