Individual provider Active NPI

Jay Mulaney, M.D.

  • Ophthalmology Physician
  • Lakeland, FL
National Provider Identifier
1730155615
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0055340 Issued in FL
Practice address
814 Griffin Road
Lakeland, FL 33805-2440
Phone
(863) 686-1010
Fax
(863) 688-0096
NPI assigned
Feb 28, 2006
Last updated
May 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0055340 FL Primary

Addresses

Primary practice location

814 Griffin Road
Lakeland, FL 33805-2440

Mailing address

814 Griffin Road
Lakeland, FL 33805-2440
Phone (863) 686-1010

Other identifiers 3

IdentifierTypeStateIssuer
2063160OtherFLOTHER
10402OtherFLBCBS
063671100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405001092 FL Practitioner - Ophthalmology 5890788012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

814 Griffin Rd
Lakeland, FL 33805-2440
Phone (863) 686-1010

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as individual
Quality
74.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0055340FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Eye Clinic P.a. Ophthalmology CurrentSince Nov 13, 2001 Accepting new patients

Locations

814 Griffin Rd
Lakeland, FL 33805
Phone (863) 686-1010

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1730155615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 GRIFFIN ROAD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052440",
            "telephone_number": "863-686-1010",
            "fax_number": "863-688-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 GRIFFIN ROAD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338052440",
            "telephone_number": "863-686-1010",
            "fax_number": "863-688-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULANEY",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0055340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "2063160",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10402",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063671100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.