Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Glenn Mitchell, OD

Individual provider Optometrist · NPI 1134124308

Dr. Mark Glenn Mitchell, OD is an Optometry in San Jose, California. Graduated from University of California - School of Optometry in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Trained at
University of California - School of Optometry
Licensed in
CA
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

678 E Santa Clara St
San Jose, CA 95112-1931
Phone: (408) 293-2020
Fax: (408) 271-0225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8285T (CA)

Record details

NPI number1134124308
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 15, 2005
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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