# DR. DAVID MITCHELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912908658
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1411-553T | LA | Yes |
| 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

- **Enumeration date:** 08/03/2005
- **Last updated:** 12/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1507032 | — | LA |
