NPI 1144379777

Charles R Mitchell, OD

Practitioner Optometrist Kensington, MD

Practice location

Address: 10810 Connecticut Ave, Kensington, MD 20895-2138
Phone: (301) 929-7507
Fax: (301) 929-7114
Mailing address: 2101 E Jefferson St Kaiser Permanente, Ppqa, 6 West, Attn: Theresa Brooks, Rockville, MD 20852-4908

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence DA1366 (MD)

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Registry record

NPI: 1144379777
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2007
Record last updated: 7 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.