Bernard Mullin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00457800 Issued in NJ

Practice address

438 County Road 513
Califon, NJ 07830-4187

Phone

(908) 832-9211

Fax

(908) 832-5806

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NJ

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

State University of New York - State College Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Optometry Group PAGroup PAC ID 0648296418, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northwest Optometry Group, P.a.

  • Optometrist
  • Sparta, NJ
  • NPI 1801853254
  Medicare reassignment Care Compare group NPD Authorized official
• Northwest Optometry Group, P.a.

  • Optometrist
  • Sparta, NJ
  • NPI 1770757379
  NPD Authorized official
• Northwest Optometry Group, P.a.

  • Optometrist
  • Califon, NJ
  • NPI 1629242383
  NPD (past) Authorized official

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1487650354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 COUNTY ROAD 513",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078304187",
            "telephone_number": "908-832-9211",
            "fax_number": "908-832-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 COUNTY ROAD 513",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078304187",
            "telephone_number": "908-832-9211",
            "fax_number": "908-832-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00457800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0323608",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410034332",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0287749",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "4573646",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410015466",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Michael McGowan, MD
• Mary McKeon
• Milk Happens LLC
• Morris Dental Clinic,LLC
• Cynthia Jackson Mulit, PH.D, LPC, NCC
• Amanda Nafey
• Nexgen Medical Supplier LLC
• Northwest Optometry Group, P.a.
• Leslee Robinson Oliu, MPH, RD, CHES
• Helen Froelich Plummer, LSW

• Optometrist in Califon, NJ
• Providers in Califon, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.