Individual
DR. TREVER J MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1530 N BROAD ST, NEW ORLEANS, LA 70119-2334
(504) 943-0070
(504) 943-0072
Mailing address
1530 N BROAD ST, NEW ORLEANS, LA 70119-2334
(504) 943-0070
(504) 943-0072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1328462T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117781
—
LA
Enumeration date
12/06/2006
Last updated
07/08/2007
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