Mitchell, Idell Marie
Mitchell, Idell Marie is an sole proprietor health care provider with primary practice located at 550 Connell Park Ln , Baton Rouge LA 70806-6539. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mitchell, Idell Marie can be contacted via phone (225) 924-2020.Contact Information
Primary practice address
550 Connell Park Ln
Baton Rouge LA 70806-6539
Phone: (225) 924-2020
Fax: (225) 924-2809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1901-837AT | Louisiana |
Profile Details
| NPI number | 1306406269 |
|---|---|
| LBN Legal business name | Mitchell, Idell Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2019 |
| Last updated | Jan 27th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306406269 | NPPES |
| Louisiana | MEDICAID | 2535854 |
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