Individual provider Active NPI

William Wynn McMullen, M.D.

  • Ophthalmology Physician
  • Webster, TX
National Provider Identifier
1013911072
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
H2595 Issued in TX
Practice address
555 E Medical Center Blvd
Suite 101
Webster, TX 77598-4367
Phone
(281) 488-7213
Fax
(281) 488-1387
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X H2595 TX Primary

Addresses

Primary practice location

555 E Medical Center Blvd
Suite 101
Webster, TX 77598-4367

Mailing address

555 E Medical Center Blvd
Suite 101
Webster, TX 77598-4367
Phone (281) 488-7213

Other identifiers 1

IdentifierTypeStateIssuer
139674913MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000049 TX Practitioner - Ophthalmology 7113907676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Eye Associates PLLCGroup PAC ID 2264479112, 15 clinicians

Practice addresses (Care Compare)

555 E Medical Ctr Blvd
Suite 101
Webster, TX 77598-4367
Phone (281) 488-7213

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H2595TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Associates PLLC Ophthalmology Current Accepting new patients
Coastal Eye Associates, PLLC Ophthalmology CurrentSince Feb 17, 1988 Accepting new patients
Coastal Eye Associates, PLLC Ophthalmology Current Accepting new patients
Coastal Eye Associates, PLLC Ophthalmology CurrentSince Feb 17, 1988 Accepting new patients

Locations

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

1913 Steele Rd
Alvin, TX 77511
Phone (281) 488-7213

11550 Fuqua St
Ste 250
Houston, TX 77034
Phone (281) 464-9616

3333 Bayshore Blvd
Ste 280
Pasadena, TX 77504
Phone (713) 473-5715

6807 Emmett F Lowry Expy
Ste 102
Texas City, TX 77591
Phone (409) 945-2269

555 E Medical Center Blvd
Ste 101
Webster, TX 77598
Phone (281) 488-7213

Networks

  • TX HMO

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1013911072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E MEDICAL CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984367",
            "telephone_number": "281-488-7213",
            "fax_number": "281-488-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E MEDICAL CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984367",
            "telephone_number": "281-488-7213",
            "fax_number": "281-488-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "WILLIAM",
        "middle_name": "WYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H2595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139674913",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.