Mullis Eye Institute Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

ME0027750 Issued in FL

Legal business name

MULLIS EYE INSTITUTE INC

Practice address

1003 College Blvd W Ste 4
Twin Cities Medical BLDG
Niceville, FL 32578-1060

Phone

(850) 678-5338

Fax

(850) 763-6665

NPI assigned

Mar 15, 2007

Organization subpart

Yes

Parent organization

MULLIS EYE INSTITUTE INCAs reported in NPPES

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

Authorized official

Name

O Lee Mullis, MD

Title

President

Phone

(850) 763-6666

Specialties & licenses 1

Addresses

Tax ID family

Mullis Eye Institute4 organizations share this tax ID, including this one

Part of

Mullis Eye Institute

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mullis Eye Institute Inc

  • Optometrist
  • Marianna, FL
  • NPI 1073647848
  NPD tax ID
• Mullis Eye Institute Inc

  • Specialist
  • Panama City, FL
  • NPI 1750497012
  NPD tax ID
• Mullis Eye Institute Inc

  • Certified Registered Nurse Anesthetist
  • Panama City, FL
  • NPI 1760726657
  NPD tax ID

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1164556932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054644",
            "telephone_number": "850-763-6666",
            "fax_number": "850-763-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 COLLEGE BLVD W STE 4",
            "address_2": "TWIN CITIES MEDICAL BLDG",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325781060",
            "telephone_number": "850-678-5338",
            "fax_number": "850-763-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLIS EYE INSTITUTE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MULLIS EYE INSTITUTE INC",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "MULLIS",
        "authorized_official_first_name": "O",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-763-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "ME0027750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sampson Wade Morrison
• Angel D Morrobel, MD
• Kelsey B Moser-Porter, MT
• Nadia Moses
• Paige Mouledous
• Janeal T Musser, ARNP-C
• Christopher David Myers
• Daniele Myers
• Megan Marie Nall, APRN
• Mary V. Naney, COTA/L

• Optometrist in Niceville, FL
• Providers in Niceville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.