Dean Ver Mulm, OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DEAN VER MULM, OD PC

Practice address

804 Broadway St
Emmetsburg, IA 50536-2422

Phone

(712) 852-4123

Fax

(712) 852-4864

NPI assigned

Aug 31, 2007

Last updated

Nov 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dean A. Ver Mulm, O.D.NPI 1427037787

Title

President

Phone

(712) 852-4123

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

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.

• Dean Albin Ver Mulm, OD

  • Optometrist
  • Emmetsburg, IA
  • NPI 1427037787
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1326232489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 BROADWAY ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362422",
            "telephone_number": "712-852-4123",
            "fax_number": "712-852-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 BROADWAY ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362422",
            "telephone_number": "712-852-4123",
            "fax_number": "712-852-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN VER MULM, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "VER MULM",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-852-4123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Justin Brakke, PHARMD
• Jennifer Veronica Coppage, R.PH.
• Shelby Cronk, MS
• Tami June Culver, PTA
• Siobhan Danreis, LMHC
• Melody J Degen
• Jaime Mae Dodd, LNHA
• Heath Eischens
• Shelby Jean Eischens, PHARM.D.
• Emmetsburg C.S.D.

• Optometrist in Emmetsburg, IA
• Providers in Emmetsburg, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.