Active NPI
Anthony P Mullins, O.D.
- Optometrist
- Pinckney, MI
National Provider Identifier
1992868392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 004022
- Practice address
- 11745 Forest Dr
Pinckney, MI 48169-9538 - Phone
- (734) 323-5253
- NPI assigned
- Dec 18, 2006
- Last updated
- Mar 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | |||
| Optometrist | 152W00000X | 004022 | MI | Primary |
Addresses
Primary practice location
11745 Forest Dr
Pinckney, MI 48169-9538
Mailing address
11745 Forest Dr
Pinckney, MI 48169-9538
Phone (734) 323-5253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4461463 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004022 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearle Vision Inc | Optometrist | Past | Accepting new patients |
| Pearle Vision Inc | Eyewear Supplier | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optometrist
- Pinckney, MI
- NPI 1053753368
-
- Optometrist
- New Hudson, MI
- NPI 1891840682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1992868392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11745 FOREST DR",
"city": "PINCKNEY",
"state": "MI",
"postal_code": "481699538",
"telephone_number": "734-323-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11745 FOREST DR",
"city": "PINCKNEY",
"state": "MI",
"postal_code": "481699538",
"telephone_number": "734-323-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "ANTHONY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "004022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4461463",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinckney, MI
- Michele Marie Rutsey
- Michigan Rehabilitation Specialists of Pinckney LLC (Michigan Rehabilitation Specialists)
- Vanessa Renee Mihela
- Dorothy Mikat, M.D.
- Wendy Moller, M.D.
- Katherine Marie Munter, PSYD
- Mansoor Mushtaq, PHARMACIST
- Shannon Nash, ADN
- Novi Holistic Health (Renew Chiropractic)
- Oakland County Detox Center , Limited Liability Company
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.