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

Mr. Edward Mitchell Jr., LDO

Individual provider Contact Lens Fitter · NPI 1811139462

Mr. Edward Mitchell Jr., LDO is a Contact Lens Fitter in Crestview, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2009
Specialties on file
4

Practice location Address checks out

4100 S Ferdon Blvd Ste B5
Crestview, FL 32536-5287
Phone: (850) 758-0474
Fax: (850) 682-0057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4724 Whitewater Ln, Crestview, FL 32539-5725 — (850) 826-0698

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence DO5539 (FL)
Contact Lens Fitter Taxonomy 156FC0801X · Licence DO 5539 (FL)
Optician Taxonomy 156FX1800X · Licence DO 5539 (FL)
Optician Taxonomy 156FX1800X · Licence 5539 (FL)

Record details

NPI number1811139462
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedMarch 28, 2009
Last updated in NPPESOctober 15, 2019