Tara K. Mullen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2011 Issued in TN

Practice address

4525 Highway 411
Suite B
Madisonville, TN 37354-1536

Phone

(423) 442-8649

Fax

(423) 420-3441

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Tara K. Mullen, O.D., P.C.

  • Optometrist
  • Madisonville, TN
  • NPI 1922204007
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1023108560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 HIGHWAY 411",
            "address_2": "SUITE B",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541536",
            "telephone_number": "423-442-8649",
            "fax_number": "423-420-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 HIGHWAY 411",
            "address_2": "SUITE B",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541536",
            "telephone_number": "423-442-8649",
            "fax_number": "423-420-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "TARA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monroe County Health Dept
• Monroe County Health Dept.
• Monroe Health and Rehabilitation Center LLC (Monroe Health and Rehabilitation Center)
• Jennifer Tull Morgan, MS, OTR/L, MBA, CLT
• Kasey Moses
• Lucinda Leanna Murphy, WHNP
• Ryan Christopher Murphy, ATC
• Jordan Michael Newman, FNP-BC
• Rebecca Nicholson, LCSW
• Tiffany Norton, MSN

• Optometrist in Madisonville, TN
• Providers in Madisonville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.