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

Mitchell Dalton Haynes, OD

Individual provider Optometrist · NPI 1629966023

Mitchell Dalton Haynes, OD is an Optometry in Pikeville, Kentucky. Qualified in 2025, 1 year ago. Practices with University of Pikeville, a 19-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
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

147 Sycamore St
Pikeville, KY 41501-9118
Phone: (606) 262-3055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2434DT (KY)

Record details

NPI number1629966023
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 25, 2025
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address147 Sycamore St, Pikeville, KY 41501-9118

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Of Pikeville — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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