Individual provider Active NPI

Perry Wesley Mullen, MD

  • Ophthalmology Physician
  • Richmond, VA
National Provider Identifier
1881795151
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101038524 Issued in VA
Practice address
7229 Forest Ave
Suite 104
Richmond, VA 23226-3765
Phone
(804) 285-7307
Fax
(804) 285-7331
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0101038524 VA Primary

Addresses

Primary practice location

7229 Forest Ave
Suite 104
Richmond, VA 23226-3765

Mailing address

7229 Forest Ave
Suite 104
Richmond, VA 23226-3765
Phone (804) 285-7307

Other identifiers 1

IdentifierTypeStateIssuer
6308546MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100601000524 VA Practitioner - Ophthalmology 6608905682 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center of Virginia PC CurrentSince Jun 1, 2019 Accepting new patients
Carl D. Outen, MD, PC Ophthalmology PastSince Nov 30, 2010 Accepting new patients

Locations

605 N Courthouse Rd
Ste 101
North Chesterfield, VA 23236
Phone (804) 794-1334

2924 Emerywood Pkwy
Ste 103
Richmond, VA 23294
Phone (804) 330-9303

2821 N Parham Rd
Ste 105
Richmond, VA 23294
Phone (804) 747-6966

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881795151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE",
            "address_2": "SUITE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263765",
            "telephone_number": "804-285-7307",
            "fax_number": "804-285-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE",
            "address_2": "SUITE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263765",
            "telephone_number": "804-285-7307",
            "fax_number": "804-285-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "PERRY",
        "middle_name": "WESLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101038524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6308546",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.