Organization Active NPI

Mullins Vision Associates,PLLC

  • Optometrist
  • Cookeville, TN
National Provider Identifier
1316130073
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MULLINS VISION ASSOCIATES,PLLC
Practice address
585 E 10TH St
Cookeville, TN 38501-1886
Phone
(931) 526-6711
Fax
(931) 526-6712
NPI assigned
Aug 24, 2007
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Dr. Ralph H. Mullins Jr., O.D.NPI 1366425605
Title
Chief Manager
Phone
(931) 526-6711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary
Corneal and Contact Management Optometrist 152WC0802X
Occupational Vision Optometrist 152WX0102X

Addresses

Primary practice location

585 E 10TH St
Cookeville, TN 38501-1886

Mailing address

585 E 10TH St
Cookeville, TN 38501-1886
Phone (931) 526-6711

Other identifiers 3

IdentifierTypeStateIssuer
323688OtherTNUNITED HEALTHCARE
4152782OtherBLUE CROSS BLUE SHIELD
53884OtherDAVIS VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070927000785 TN Part B Supplier - Clinic/Group Practice 3870686488 Receives reassigned benefits from 4 practitioners
Practice locations: Cookeville, TN
O20100930005430 TN DME Supplier - Physician - Optometrist 3870686488 Practice locations: Cookeville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mullins Vision Associates PLLC585 E 10TH St, Cookeville, TN 38501-1807(931) 526-6711 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 21, 2007

National Provider Directory

National Provider Directory

Locations

585 E 10th St
Cookeville, TN 38501
Phone (931) 526-6711

Interoperability endpoints

  • Direct secure messaging: dr.apple@mullinsvision.eyefinity-direct.com
  • Direct secure messaging: drralph@mullinsvision.eyefinity-direct.com
  • Direct secure messaging: drstephen@mullinsvision.eyefinity-direct.com
  • Direct secure messaging: lpetrie@mullinsvision.eyefinity-direct.com
  • Direct secure messaging: stephen@mullinsvision.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1316130073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011886",
            "telephone_number": "931-526-6711",
            "fax_number": "931-526-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E 10TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011886",
            "telephone_number": "931-526-6711",
            "fax_number": "931-526-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLINS VISION ASSOCIATES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "931-526-6711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "323688",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4152782",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "53884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.