MULLIS EYE INSTITUTE INC (NPI# 1942334057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942334057 |
| Entity Type | Organization |
| Organization Name | MULLIS EYE INSTITUTE INC |
| Practice Address |
1600 Jenks Ave Panama City FL 32405-4644 |
| Mailing Address |
1600 Jenks Avenue Panama City FL 32405 |
| Practice Telephone | 8507636666 |
| Practice Fax Number | 8507636665 |
| Mailing Telephone | 8507636666 |
| Mailing Fax Number | 8507636665 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-11-14 |
| Authorized Official Name | DARREN PAYNE (VICE PRESIDENT) |
| Authorized Official Telephone | 8507636666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 301351100 | 05 | |
| FL | 251263700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073647848 | Mullis Eye Institute Inc | Optometrist | 4320 5th Ave, Marianna, FL 32446-2182 | 2007-03-15 |
| 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 |
| 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 |
1600 JENKS AVE |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813383 | Mona R Johnson | Nurse Anesthetist, Certified Registered | 1600 Jenks Ave, Panama City, FL 32405-4644 | 2005-12-29 |
| 1760726657 | Mullis Eye Institute Inc | Nurse Anesthetist, Certified Registered | 1600 Jenks Ave, Panama City, FL 32405-4000 | 2012-11-16 |
| 1144309956 | Julie Anne Wolf | Optometrist | 1600 Jenks Ave, Panama City, FL 32405-4644 | 2006-11-03 |
| 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 |
| 1912919564 | Hugh E. Hudson | Optometrist | 1600 Jenks Ave, Panama City, FL 32405-4644 | 2006-08-12 |
| 1871505412 | Darren Payne | Ophthalmology | 1600 Jenks Ave, Panama City, FL 32405-4644 | 2006-08-12 |
| 1336153055 | Todd W Robinson | Ophthalmology | 1600 Jenks Ave, Panama City, FL 32405-4644 | 2006-07-28 |
| 1881631109 | Earl Brooks | Nurse Anesthetist, Certified Registered | 1600 Jenks Ave, Panama City, FL 32405-4644 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508250150 | Bonita Gaye Kingsteinkamp | Specialist | 1713 Beck Ave, Suite B, Panama City, FL 32405-2566 | 2015-03-21 |
| 1396049268 | Freda Marie Edwards | Specialist | 2425 Ormond Ave., Panama City, FL 32405 | 2011-01-06 |
| 1720382179 | Tanya Marie Nance | Specialist | 703 Williams Ave, Panama City, FL 32401-4225 | 2010-12-28 |
| 1659674380 | Sharlene Rhaetta Humphrey | Specialist | 520 E 9th St, Panama City, FL 32401-2968 | 2010-12-20 |
| 1912185323 | Amanda Dean Sims | Specialist | 2001 Wilson Ave, Panama City, FL 32405-4532 | 2008-02-07 |
| 1255529772 | Coastal Allergy & Asthma P.a. | Specialist | 3228 East 15th Street, Panama City, FL 32405 | 2007-10-10 |
| 1558558171 | Amir Manzoor, Md, Pa | Specialist | 237 E Baldwin Rd, #103, Panama City, FL 32405-4205 | 2007-09-27 |
| 1649466137 | Panama City General Surgery Pa | Specialist | 806 E 6th St, Panama City, FL 32401-3620 | 2007-09-19 |
| 1114148996 | William W Dent Mdpa | Specialist | 801 E 6th St Ste 201, Panama City, FL 32401-3667 | 2007-05-01 |
| 1942327127 | Terri Joyce Lawson | Specialist | 216 Forest Park Cir, Panama City, FL 32405-4915 | 2007-03-23 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on MULLIS EYE INSTITUTE INC.
| 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.