Gerald J Mullan MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

GM028879 Issued in MI

Legal business name

GERALD J MULLAN MD PC

Doing business as

Community Eye Center

Practice address

22039 John R Rd
Hazel Park, MI 48030-1712

Phone

(248) 336-3937

Fax

(248) 336-3938

NPI assigned

Oct 29, 2007

Last updated

Dec 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gerald J Mullan, MDNPI 1457361503

Title

President

Phone

(248) 336-3937

Specialties & licenses 1

Addresses

Other names 1

• Community Eye Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald J Mullan, MD

  • Ophthalmology Physician
  • Hazel Park, MI
  • NPI 1457361503
  Authorized official Same address or phone

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1033398995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22039 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301712",
            "telephone_number": "248-336-3937",
            "fax_number": "248-336-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22039 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301712",
            "telephone_number": "248-336-3937",
            "fax_number": "248-336-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3080 John R Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483075462",
            "country_code": "US",
            "telephone_number": "248-299-3937",
            "fax_number": "248-336-3938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERALD J MULLAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "MULLAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-336-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "GM028879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• FMS Beaumont Health, LLC (Fresenius Kidney Care - Hazel Park)
• FMS Rochester Hills, LLC (Fresenius Kidney Care Hazel Park)
• Musib S Gappy, MD
• Shawn Shafik Gappy, M.D.
• Mesiah Garrison, DCW
• Irwin Arnold Goodman, DDS
• Sara Hak
• Nemer Hamad
• Mohammed Sirajul Haq, M.D.
• Cindy Harris

• Ophthalmology Physician in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.