DR. MITCHELL MINIX (OD) – Optometrist, NPI 1760977193

DR. MITCHELL MINIX (OD) is a healthcare provider. based in Fort wayne, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004109A (IN). The NPI Number for DR. MITCHELL MINIX (OD) is 1760977193

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MITCHELL MINIX (OD)
NPI
1760977193
Phone
(260) 486-8833
Address
6110 MAPLECREST RD
Enumeration Date
27 June 2018
Last Update Date
27 June 2018

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2604868833
Graduation Year
2018 (8 years ago)
PAC ID
5496003550
Group Practice PAC ID
4082745138
Professional Enrollment ID
I20180806002115
Address ID
IN468352524FO6110XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

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Provider Addresses for DR. MITCHELL MINIX (OD)

  • Saint Joe Vision, 6110, Maplecrest Road, Fort Wayne, Allen County, Indiana, 46835, United States

    FORT WAYNE, IN 468352524

    Phone: (260) 486-8833

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $382.

Total Amount is formed as General ($382) + Research ($0) + Ownership ($0) = $382.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: CooperVision Inc. ($117).

Total Amount

$382

General + Research + Ownership

Payments

16

Total payment records

General Amount

$382

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180806002115IOptometryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system126126$0
99213Established patient office or other outpatient visit, 20-29 minutes8061$0
92250Photography of the retina6464$0
92134Imaging of retina4339$0
92083Exam of visual field with extended testing4034$0
View full utilization report →

Insurance plans in this area (ZIP 46835)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082745138View full group profile
NameSpecialtyState
O P T O M E T R YIN

Reviews

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Frequently asked questions

What is DR. MITCHELL MINIX (OD)'s NPI number?
DR. MITCHELL MINIX (OD)'s NPI is 1760977193 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. MITCHELL MINIX (OD)?
For scheduling context, DR. MITCHELL MINIX (OD) is shown as active in the registry.
What clinical focus is listed for DR. MITCHELL MINIX (OD)?
At a glance, DR. MITCHELL MINIX (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MITCHELL MINIX (OD) located near Fort Wayne?
DR. MITCHELL MINIX (OD) currently maps to Fort Wayne, Indiana in this extract.
Can I trust this NPI listing for DR. MITCHELL MINIX (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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