Mulqueeny Eye Centers LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

MOT03017 Issued in MO

Legal business name

MULQUEENY EYE CENTERS LLC

Practice address

612 N New Ballas Rd
Saint Louis, MO 63141-6714

Phone

(314) 542-3600

Fax

(314) 542-4041

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sean P MulqueenyNPI 1407871296

Title

President

Phone

(314) 542-3600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBAICA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean P Mulqueeny, OD

  • Optometrist
  • Creve Coeur, MO
  • NPI 1407871296
  Medicare reassignment Care Compare group NPD Authorized official
• Brendan Mulqueeny, OD

  • Optometrist
  • Saint Louis, MO
  • NPI 1447981667
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1669881207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416714",
            "telephone_number": "314-542-3600",
            "fax_number": "314-542-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416714",
            "telephone_number": "314-542-3600",
            "fax_number": "314-542-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULQUEENY EYE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "MULQUEENY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-542-3600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "MOT03017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Mullin, M.A.,CCC-SLP
• Michelle Mullin, FNP
• Michael E Mullins, MD
• Samantha L Mullins, SLPA
• Meghan Mulloy
• Sarah Jeanne Mulqueeny Miller, MSW, BCBA, LBA
• Brendan Mulqueeny, OD
• Multi-Specialty Mental Health Services, Inc
• Multicare Home Health LLC
• Multicultural Professional Services, LLC

• Optometrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.