Marilyn Macalos Mueller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6405TG Issued in TX

Practice address

4527 Bastogne
Fort Bragg, NC 28310-5110

Phone

(832) 443-0721

NPI assigned

Dec 28, 2005

Sex

Female

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1609853019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 VALLEY BROOK LN",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283907026",
            "telephone_number": "832-443-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 BASTOGNE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283105110",
            "telephone_number": "832-443-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MARILYN",
        "middle_name": "MACALOS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6405TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "1609853019",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MHSGenesis",
            "affiliation": "N",
            "endpointDescription": "MHS Genesis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4527 Bastogne",
            "city": "Fort Bragg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283105110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Dyer Morrison Jr., PA-C
• Chad Edwards Morrow, MA
• Bruce Addison Moyer, PSY D.
• Jonathan M Mrnak, LCSW
• Jamie Mueller, PA-C
• Maureen Mulholland, LCSW
• James Bradley Muller, MD
• Barbara A Mullins, RDH, BS
• Jeannette Munoz, CCC-SLP
• Rita Pazral Munson, D.O.

• Optometrist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.