Stephanie L Mulick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13099 Issued in CA

Practice address

653 Camino de Los Mares
San Clemente, CA 92673

Phone

(949) 489-2218

NPI assigned

Jan 19, 2007

Last updated

Apr 16, 2019By the provider in NPPES

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

Enrolled in CA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ramin Tayani MD IncGroup PAC ID 3274541826, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: stephanie.mulick.p1@direct.tayani.nextgenshare.com

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.

• Ramin Tayani MD Inc

  dba Tayani Eye Institute

  • Ophthalmology Physician
  • San Clemente, CA
  • NPI 1841465986
  Medicare reassignment Care Compare group
• Harvard Eye Associates

  • Ophthalmology Physician
  • Laguna Hills, CA
  • NPI 1356371074
  NPD (past)
• Luxottica of America Inc.

  dba Lenscrafters #611

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1174676613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22681 LAKE FOREST DR STE A2",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301799",
            "telephone_number": "714-329-9766",
            "fax_number": "949-837-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 CAMINO DE LOS MARES",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-489-2218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22681 Lake Forest Dr Ste A2",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926301799",
            "country_code": "US",
            "telephone_number": "714-329-9766",
            "fax_number": "949-837-6215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3621 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564522",
            "country_code": "US",
            "telephone_number": "949-489-2218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26726 Crown Valley Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918040",
            "country_code": "US",
            "telephone_number": "949-489-2218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULICK",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donald L Muir, D.M.D.
• Shaina Secilja Muro, BCABA
• Caitlin Grace Murphy, SLP
• Nagy Medical Corp
• Mary A Naimie, LCSW
• Mahtab Naji, MD

• Optometrist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.