Individual provider Active NPI

Aaron Keith Mullins, OD

  • Optometrist
  • Winchester, KY
National Provider Identifier
1124648761
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2208DT Issued in KY
Practice address
225 Hospital Dr Ste 160
Winchester, KY 40391-7635
Phone
(859) 744-4429
NPI assigned
Apr 23, 2020
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2208DT KY Primary

Addresses

Primary practice location

225 Hospital Dr Ste 160
Winchester, KY 40391-7635

Mailing address

2136 Elkhorn CRK
Elkhorn City, KY 41522-7115
Phone (606) 253-2918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20210512000785 KY Practitioner - Optometry 1557770153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puckett Family Eye Care PLLCGroup PAC ID 3274637624, 3 clinicians

Practice addresses (Care Compare)

225 Hospital Dr
Suite 160
Winchester, KY 40391-7635
Phone (859) 744-4429

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2208DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Puckett Family Eye Care, PLLC Optometrist CurrentSince Jun 1, 2021 Accepting new patients

Locations

30 Howell Ln
Jackson, KY 41339
Phone (606) 666-2849

225 Hospital Dr
Ste 160
Winchester, KY 40391
Phone (859) 744-3937

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1124648761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 ELKHORN CRK",
            "city": "ELKHORN CITY",
            "state": "KY",
            "postal_code": "415227115",
            "telephone_number": "606-253-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR STE 160",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917635",
            "telephone_number": "859-744-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "AARON",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2022-01-11",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2208DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.