MULLIS EYE INSTITUTE INC (NPI# 1073647848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073647848 |
| Entity Type | Organization |
| Organization Name | MULLIS EYE INSTITUTE INC |
| Practice Address |
4320 5th Ave Marianna FL 32446-2182 |
| Mailing Address |
1600 Jenks Ave Panama City FL 32405-4644 |
| Practice Telephone | 8505267775 |
| Practice Fax Number | 8507636665 |
| Mailing Telephone | 8507636666 |
| Mailing Fax Number | 8507636665 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | O. LEE MULLIS (PRESIDENT) |
| Authorized Official Telephone | 8507636666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MULLIS EYE INSTITUTE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ME0027750 | FL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164556932 | Mullis Eye Institute Inc | Optometrist | 1003 College Blvd W Ste 4, Twin Cities Medical Bldg, Niceville, FL 32578-1060 | 2007-03-15 |
| 1760726657 | Mullis Eye Institute Inc | Nurse Anesthetist, Certified Registered | 1600 Jenks Ave, Panama City, FL 32405-4000 | 2012-11-16 |
| 1942334057 | Mullis Eye Institute Inc | Nurse Anesthetist, Certified Registered | 1600 Jenks Ave, Panama City, FL 32405-4644 | 2007-03-14 |
| 1750497012 | Mullis Eye Institute Inc | Specialist | 1600 Jenks Ave, Panama City, FL 32405-4644 | 2006-08-21 |
| 1578575064 | Mullis Eye Institute Inc | Clinic/Center | 1600 Jenks Ave, Panama City, FL 32405-4644 | 2006-08-12 |
| Street Address |
4320 5TH AVE |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| Find all providers in zip 32446 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467469718 | Jonathan Simmons | Optometrist | 219 W. Chestnut, Marianna, AR 72360 | 2006-08-01 |
| 1518974070 | Simmons Eye Center | Optometrist | 219 W Chestnut St, Marianna, AR 72360-2212 | 2006-08-01 |
| 1336173350 | Pelt Eye Clinic, P.a. | Optometrist | 4340 Lafayette St, Marianna, FL 32446-2916 | 2006-07-10 |
| 1659347698 | Jeffrey K. Davis | Optometrist | 2922 Jefferson St, Marianna, FL 32446-3448 | 2006-02-28 |
| 1437554623 | William Peacock | Optometrist | 2255 Highway 71, Marianna, FL 32448-2541 | 2014-10-30 |
| 1831256726 | Davis Optometry Group Pa | Optometrist | 2922 Jefferson St, Marianna, FL 32446-3448 | 2007-01-02 |
| 1851451462 | William Stan Peacock | Optometrist | 2255 Highway 71, Marianna, FL 32448-2541 | 2006-12-12 |
| 1013924174 | Alan E Pelt | Optometrist | 4340 Lafayette St, Marianna, FL 32446 | 2006-08-02 |
| 1598790891 | David G Pelt | Optometrist | 4340 Lafayette St, Marianna, FL 32446 | 2006-07-12 |
| 1881660827 | Marion Bert Davis Jr. | Optometrist | 2922 Jefferson St, Marianna, FL 32446-3448 | 2006-02-28 |
| Find all providers in MARIANNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.