Cynthia Dawn Mueller, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

DO60967931 Issued in WA

Practice address

100 E Wallace Kneeland Blvd
Shelton, WA 98584-2981

Phone

(360) 427-8324

Fax

(360) 427-8326

NPI assigned

May 30, 2023

Last updated

May 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1841983475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E WALLACE KNEELAND BLVD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842981",
            "telephone_number": "360-427-8324",
            "fax_number": "360-427-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E WALLACE KNEELAND BLVD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842981",
            "telephone_number": "360-427-8324",
            "fax_number": "360-427-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "CYNTHIA",
        "middle_name": "DAWN",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "WA",
            "license": "DO60967931",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NV",
            "license": "645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alexander Morris, MSW, LSWAIC
• Vince Edward Morson, DC
• Amber Morton, SUDP/T
• Amie Elise Freeman Mower, D.O.
• Jared Thomas Muai, PHARMD
• Elisabeth Denay Mullin-Gross
• Christopher Alan Mullins, PHARMD
• Jose Michael Munjoz-Flores
• Krystal Ann Munroe
• Briseyda Murillo

• Optician in Shelton, WA
• Providers in Shelton, WA by specialty
• Optician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.