Active NPI
Ralph H Mullins, OD
- Optometrist
- Cookeville, TN
National Provider Identifier
1366425605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TN635
- Practice address
- 585 E 10TH St
Cookeville, TN 38501-1807 - Phone
- (931) 526-6711
- Fax
- (931) 526-6712
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TN635 | TN | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | TN635 | TN | |
| Occupational Vision Optometrist | 152WX0102X | TN635 | TN |
Addresses
Primary practice location
585 E 10TH St
Cookeville, TN 38501-1807
Mailing address
585 E 10TH St
Cookeville, TN 38501-1807
Phone (931) 526-6711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
585 E 10TH St
Cookeville, TN 38501-1807
Phone (931) 526-6711
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TN635 | TN | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mullins Vision Associates,PLLC | Optometrist | Current | Accepting new patients |
| Mullins Vision South, PLLC | Optometrist | Current | Accepting new patients |
Locations
585 E 10th St
Cookeville, TN 38501
Phone (931) 526-6711
126 E Bockman Way
Sparta, TN 38583
Phone (931) 836-2235
Interoperability endpoints
- drralph@mullinsvision.eyefinity-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Cookeville, TN
- NPI 1316130073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1366425605",
"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": "385011807",
"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": "385011807",
"telephone_number": "931-526-6711",
"fax_number": "931-526-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "RALPH",
"middle_name": "H",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "TN635",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TN",
"license": "TN635",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "TN",
"license": "TN635",
"primary": false
}
],
"identifiers": [],
"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 Dec 26, 2012; 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.