Andrew John Mulder, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010270 Issued in IL

Practice address

225 N Michigan Ave
Lenscrafters
Chicago, IL 60601

Phone

(312) 819-0199

Fax

(312) 819-0397

NPI assigned

Sep 1, 2009

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1023241569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 E OGDEN AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638539",
            "telephone_number": "331-305-6556",
            "fax_number": "331-305-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MICHIGAN AVE",
            "address_2": "LENSCRAFTERS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60601",
            "telephone_number": "312-819-0199",
            "fax_number": "312-819-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDER",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Mulcahy, MD
• Aarti Dharmani Mulchandani, MD
• Nora Ann Mulchrone
• Miranda J Mulcrone, LCSW
• Shaun Patrick Mulcrone, LCSW
• Katelyn Ann Muldoon, OTD, OTR/L
• Rachel Muldoon, M.S., CCC-SLP
• Edwin Muldrow, PHARMACIST
• Nancy Maria Mule, PA-C
• Joyce Lenore Mulford, LCSW

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.