Individual
JOHN DAVID MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 PARK ST SE STE 300, VIENNA, VA 22180-4626
(703) 938-2266
(703) 938-8332
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
101042795
VA
207W00000X
Ophthalmology Physician
D0052312
MD
207W00000X
Ophthalmology Physician
MD30373
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010041813
—
VA
Enumeration date
02/09/2007
Last updated
09/08/2025
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