Stephen Eli Mullen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2004018249 Issued in MO

Practice address

79 Maple Dr
Platte City, MO 64079-9640

Phone

(816) 858-3954

Fax

(816) 858-3954

NPI assigned

Jul 19, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

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 2

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aria Vision Care, LLCGroup PAC ID 9638571524, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aria Vision Care, LLC

  • Optometrist
  • Overland Park, KS
  • NPI 1992370993

  IL, MO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962422519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MAPLE DR",
            "address_2": "PO BOX 1008",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640799640",
            "telephone_number": "816-858-3954",
            "fax_number": "816-858-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MAPLE DR",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640799640",
            "telephone_number": "816-858-3954",
            "fax_number": "816-858-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "STEPHEN",
        "middle_name": "ELI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2004018249",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009712",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319083408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• London Nicole Monroe
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• Gerald F. Morris, DC
• Caitlin Marie Mountjoy
• Henry Amos Muse
• My Weight First LLC (My Weight First Medical)
• Carl Mack Myers, MD
• N & R of Platte City, Inc. (Hillview Nursing & Rehab)
• Calvin Bernard Neal Sr., LPN

• Optometrist in Platte City, MO
• Providers in Platte City, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.