Delaney Pullen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2024021878 Issued in MO

Practice address

2025 W Business US Highway 60
Dexter, MO 63841-2879

Phone

(573) 624-6728

NPI assigned

Jun 20, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1093559593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11577 TAHOE PARADISE DR APT 2",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638418704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W BUSINESS US HIGHWAY 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412879",
            "telephone_number": "573-624-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "DELANEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2024021878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poplar Bluff Regional Medical Center LLC
• Poplar Bluff Regional Medical Center, LLC
• Practice Tee, LLC
• Preferred Hospice of Missouri LLC
• Professional Counseling Group Inc
• Laurie Pullum, MSN, NP-C
• Kelly Pyle, P.T.
• Nyssa Quatmann, MA, BCBA, LBA
• Dana Leigh Reeder, PSYD
• Edward D Reese, M.D.

• All providers in Dexter, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.