Adam J Mulac, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000502 Issued in PA

Practice address

4313 Walnut St
Sears Optical
McKeesport, PA 15132-6100

Phone

(412) 754-1052

Fax

(412) 754-1053

NPI assigned

Sep 25, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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.

• Adam and Maureen Mulac PC

  • Optometrist
  • McKeesport, PA
  • NPI 1003971094
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1831386770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 WALNUT ST",
            "address_2": "SEARS OPTICAL",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151326100",
            "telephone_number": "412-754-1052",
            "fax_number": "412-754-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 WALNUT ST",
            "address_2": "SEARS OPTICAL",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151326100",
            "telephone_number": "412-754-1052",
            "fax_number": "412-754-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULAC",
        "first_name": "ADAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01799006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brendan Joseph Moss, MSW
• Alexandra Mosser
• Ellen Marie Muchnok, DPT
• Taylor Mugnier
• Nassar Mukhtar, M.D
• Maureen A Mulac, OD
• Jennifer Mullins
• Melanie Murdock, MS, NCC, LPC
• Jessica Hope Murray, LCSW
• Khavah Murray

• All providers in McKeesport, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.