Ooltewah Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0000002639 Issued in TN

Legal business name

OOLTEWAH VISION CENTER PLLC

Practice address

5958 Snow Hill Rd Ste 136
Ooltewah, TN 37363-7834

Phone

(423) 910-0412

Fax

(423) 910-0426

NPI assigned

Feb 18, 2014

Last updated

Sep 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John E Mullins, ODNPI 1659441343

Title

Owner

Phone

(423) 910-0412

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John E Mullins, OD

  • Optometrist
  • Ooltewah, TN
  • NPI 1659441343
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1902220502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 SNOW HILL RD STE 136",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637834",
            "telephone_number": "423-910-0412",
            "fax_number": "423-910-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5958 SNOW HILL RD STE 136",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637834",
            "telephone_number": "423-910-0412",
            "fax_number": "423-910-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OOLTEWAH VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-910-0412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39470471",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristie Obranovich, PA-C
• Office of Elder of Total Health Ministries
• Eric Neil Olsen, DC
• Ooltewah Chiropractic and Rehab
• Ooltewah Medical Investors LP (Life Care Center of Ooltewah)
• Open Arms Care Corporation
• Open Arms Care Corporation
• Open Arms Care Corporation
• Carl M Orquia, M.D.
• Gabriele Osorio, FNP-C

• Optometrist in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.