MRS. STACI PEREA MCMULLEN (NPI# 1386639615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386639615 |
| Entity Type | Individual |
| Full Name | MRS. STACI PEREA MCMULLEN |
| Credential | OD |
| Practice Address |
6071 E Woodmen Rd Suite 205 Colorado Springs CO 80923-2607 |
| Practice Telephone | 7193806808 |
| Practice Fax Number | 7193805656 |
| Mailing Telephone | 7193806808 |
| Mailing Fax Number | 7193805656 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2011-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2151 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 88427811 | 05 |
| Street Address |
6071 E WOODMEN RD SUITE 205 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80923-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527967 | Pikes Peak Nephrology Associates PC | Internal Medicine | 6071 E Woodmen Rd, Colorado Springs, CO 80923-2607 | 2020-10-30 |
| 1548879356 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 6071 E Woodmen Rd, Colorado Springs, CO 80923-2607 | 2020-07-28 |
| 1386278588 | Desiree Michelle Nadeau | Counselor | 6071 E Woodmen Rd, Colorado Springs, CO 80923-2607 | 2020-02-26 |
| 1376076851 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 6071 E Woodmen Rd, Ste 145, Colorado Springs, CO 80923-2607 | 2017-04-11 |
| 1437501145 | North Care Asc, LLC | Clinic/Center | 6071 E Woodmen Rd, Suite 352, Colorado Springs, CO 80923-2607 | 2016-07-06 |
| 1891149977 | Amanda Zenthoefer | Dentist | 6071 E Woodmen Rd, Suite 200, Colorado Springs, CO 80923-2607 | 2016-04-14 |
| 1679951487 | Kathryn Elizabeth Wilde | Nurse Practitioner | 6071 E Woodmen Rd, Suite 405, Colorado Springs, CO 80923-2614 | 2015-05-12 |
| 1679902217 | Daniel Way | Audiologist-Hearing Aid Fitter | 6071 E Woodmen Rd, #325, Colorado Springs, CO 80923-2607 | 2013-11-04 |
| 1508291972 | Ashlee Rothstein | Audiologist | 6071 E Woodmen Rd, Ste 325, Colorado Springs, CO 80923-2607 | 2013-09-04 |
| 1356619159 | Jetta Lee Sullivan-wells | Marriage & Family Therapist | 6071 E Woodmen Rd, Colorado Springs, CO 80923-2607 | 2011-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1366933632 | The Traveling Therapist, LLC | Social Worker | 6319 Sundance Kid Dr, Colorado Springs, CO 80923 | 2018-05-22 |
| 1669972246 | Stacy H Furukawa | Behavior Technician | 5719 Hawk Springs Dr, Colorado Springs, CO 80923 | 2018-02-20 |
| 1528573854 | Wal-mart Sores, Inc. | Durable Medical Equipment & Medical Supplies | 7825 Dublin Blvd, Colorado Springs, CO 80923 | 2017-12-08 |
| 1699148544 | Kristin Sekelsky | Nurse Practitioner | 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 | 2015-11-01 |
| 1164826640 | Nancy Bakhtiar | Massage Therapist | 6160 Tutt Blve #102, Colorado Springs, CO 80923 | 2014-10-13 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| Find all providers in zip 80923 | ||||
| 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 |
|---|---|---|---|---|
| 1780283564 | Eye Love Care Inc | Optometrist | 1455 S Chelton Rd, Colorado Springs, CO 80910-1663 | 2020-10-22 |
| 1538708052 | Bauer Eyecare Pllc | Optometrist | 3625 Star Ranch Rd, Colorado Springs, CO 80906-5980 | 2020-01-01 |
| 1104460682 | Optimism Eye Care Co Pllc | Optometrist | 4130 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2928 | 2019-10-29 |
| 1881256147 | Eye Love Care Inc | Optometrist | 4465 Northpark Dr Ste 208, Colorado Springs, CO 80907-4238 | 2019-07-07 |
| 1063073245 | Jade Mclachlin | Optometrist | 3532 Van Teylingen Dr Apt C, Colorado Springs, CO 80917-4822 | 2019-06-27 |
| 1588225130 | Katherine Austin Barton | Optometrist | 1803 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-4027 | 2019-06-25 |
| 1447818869 | Allison Anne Ruehlen | Optometrist | 4195 Centennial Blvd, Colorado Springs, CO 80907-3767 | 2019-05-31 |
| 1386116168 | Infocus Eye Care, Pllc | Optometrist | 1234 E Woodmen Rd Unit 120, Colorado Springs, CO 80920-8248 | 2018-12-18 |
| 1720574544 | Devin Jackson | Optometrist | 3958 N Academy Blvd Ste 108, Colorado Springs, CO 80917-5911 | 2018-07-04 |
| 1508383126 | Abba Dry Eye & Allergy Clinic, P.C. | Optometrist | 4465 Northpark Dr Ste 206, Colorado Springs, CO 80907-4238 | 2017-08-24 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80923 |
Please comment or provide details below to improve the information on MRS. STACI PEREA MCMULLEN.
| 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.