Adam and Maureen Mulac PC
Organization Active NPI Optometrist · McKeesport, PA
NPI 1003971094 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1003971094
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ADAM AND MAUREEN MULAC PC
- Practice address
- 4313 Walnut St
Sears Optical
McKeesport, PA 15132 - Phone
- (412) 754-2200
- Fax
- (412) 754-1053
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Adam Joseph Mulac, OD
- Title
- President
- Phone
- (412) 754-1052
Practitioners 2
-
Adam J Mulac, OD
-
Maureen A Mulac, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101011001103 | PA | Part B Supplier - Clinic/Group Practice | 7012109937 |
Receives reassigned benefits from 2 practitioners Practice locations: McKeesport, PA |
National Provider Directory
Locations
4313 Walnut St
Ste 108
McKeesport, PA 15132
Phone (412) 754-1050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | PA | Yes |
Addresses
Primary practice location
4313 Walnut St
Sears Optical
McKeesport, PA 15132
Mailing address
580 Oakhurst Dr
Irwin, PA 15642
Phone (724) 861-6666
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01799006 | Medicaid | PA | |
| 01818807 | Medicaid | PA |
Other providers in McKeesport, PA
- Hemn Khalid Abdullah
- Syeda Rabab Abid
- Stephanie Abrams
- Academy of Podiatry
- Kathryn Accetturo
- Lydia Adams
- Ruth Anne Adams
- Oluwafidamiloju Flourish Adesina
- Bhawna Agarwal
- Celia Agudelo
All providers in McKeesport, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.