Individual
DR. STEVE C MITCHELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
624 S NATIONAL AVE, FORT SCOTT, KS 66701-1317
(620) 223-6440
(620) 223-6988
Mailing address
624 S NATIONAL AVE, FORT SCOTT, KS 66701-1317
(620) 223-6440
(620) 223-6988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11063
KS
152WC0802X
Corneal and Contact Management Optometrist
1106-3
KS
152WL0500X
Low Vision Rehabilitation Optometrist
1106-3
KS
152WP0200X
Pediatric Optometrist
1106-3
KS
152WS0006X
Sports Vision Optometrist
1106-3
KS
152WV0400X
Vision Therapy Optometrist
1106-3
KS
152WX0102X
Occupational Vision Optometrist
1106-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090050A
—
KS
01
—
188855
COVENTRY HEALTHCARE
KS
01
—
23665019
BCBS OF KANSAS CITY
KS
01
—
338790
FAMILY HEALTH PARTNERS
KS
01
—
410014059
MEDICARE RAILROAD
KS
01
—
5120
BLUE CROSS BLUE SHIELD
KS
01
—
664300
FIRST GUARD
KS
Enumeration date
06/21/2005
Last updated
04/13/2010
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