Nicholas Harding Mullins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-E79-TA-C18 Issued in AL

Practice address

1609 Gilmer Ave
Tallassee, AL 36078-2343

Phone

(334) 283-6535

NPI assigned

May 19, 2021

Last updated

Nov 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

University Alabama Birmingham - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magnolia Place Eyecare LLCGroup PAC ID 1456739226, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Magnolia Place Eyecare LLC

  • Optometrist
  • Tallassee, AL
  • NPI 1922767136
  Medicare reassignment Care Compare group NPD
• Paris Mullins Jr., OD

  • Optometrist
  • Tallassee, AL
  • NPI 1447367883
  Medicare reassignment

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1508430042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360782343",
            "telephone_number": "334-283-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360782343",
            "telephone_number": "334-283-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "NICHOLAS",
        "middle_name": "HARDING",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E79-TA-C18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcial J Mendez
• Michael a Courtney, M.D.
• Michael W. Peaden MD PC
• Montgomery Drug Company Inc
• Montgomery Psychiatry, PC
• Paris Mullins Jr., OD
• Caroline Herring Myers, D.C.
• Haily Brooke Owen, BCBA
• Harlan Scott Owenby, DPT
• Tristen Lee Patterson

• Optometrist in Tallassee, AL
• Providers in Tallassee, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.