Individual provider Active NPI

Sarah Elizabeth Mulliniks, OD

  • Optometrist
  • Henryetta, OK
National Provider Identifier
1235566639
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2787 Issued in OK
Practice address
900 W Main St
Henryetta, OK 74437-4252
Phone
(918) 652-2345
Fax
(918) 652-2537
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2787 OK Primary

Addresses

Primary practice location

900 W Main St
Henryetta, OK 74437-4252

Mailing address

900 W Main St
Henryetta, OK 74437-4252
Phone (918) 652-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20131210001612 OK Practitioner - Optometry 5698902005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Henryetta Eye CenterGroup PAC ID 4880764489, 2 clinicians

Practice addresses (Care Compare)

900 W Main
Henryetta, OK 74437-4252
Phone (918) 652-2345

Merit-based Incentive Payment System (MIPS)

Final score
87.85 of 100Reported as group
Quality
75.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2787OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Henryetta Eye Center Optometrist CurrentSince Oct 22, 2013 Accepting new patients
Holdenville Eye Center PLLC Optometrist CurrentSince Apr 1, 2016 Accepting new patients

Locations

900 W Main St
Henryetta, OK 74437
Phone (918) 652-2345

720 N Hinckley St
Holdenville, OK 74848
Phone (405) 379-3700

Interoperability endpoints

  • Direct secure messaging: sarah.mulliniks@direct.revolutionehr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1235566639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744374252",
            "telephone_number": "918-652-2345",
            "fax_number": "918-652-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744374252",
            "telephone_number": "918-652-2345",
            "fax_number": "918-652-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINIKS",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henryetta, OK

Sources for this page

Verify at the official NPI Registry.