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General NPI Number Information
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NPI Number | 1952442253
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Entity Type | Individual
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Provider Name | JOHN DAVID MITCHELL MD
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 130 PARK ST SE STE 300
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City | VIENNA
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State | VA
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Zip | 22180-4626
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Country | US
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Telephone | 703-938-2266
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Fax | 703-938-8332
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Provider Business Mailing Address
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Address Line | 420 MOUNTAIN AVE FL 4
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City | NEW PROVIDENCE
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State | NJ
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Zip | 07974-2736
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | D0052312
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD30373
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 101042795
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License Number State | VA
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