Stephen E Mullen (NPI# 1962422519, PAC ID# 2365402559) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1962422519 |
| PAC ID by PECOS | 2365402559 |
| Professional Enrollment ID | I20041012001395 |
| Full Name | Stephen E Mullen |
| Organization Legal Name | PROFESSIONAL EYE CARE INC |
| Address |
10441 International Plaza Dr Saint Ann MO 63074-1805 |
| Phone Number | 3144231254 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2004 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4183529696 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2910 Beaver Creek Dr, Cape Girardeau, MO 63701-1732 | 5736510199 | PROFESSIONAL EYE CARE INC |
| 1030 Barathaven Dr, Dardenne Prairie, MO 63368-8606 | 6366299160 | PROFESSIONAL EYE CARE INC |
| 520 Manor Dr, Fulton, MO 65261-2429 | 5736426834 | PROFESSIONAL EYE CARE INC |
| 2711 Debbie Ln, Poplar Bluff, MO 63901-2651 | 5736865242 | PROFESSIONAL EYE CARE INC |
| 10441 International Plaza Dr, Saint Ann, MO 63074-1805 | 3144231254 | PROFESSIONAL EYE CARE INC |
| 325 N Newstead Ave, St Elizabeth Hall, Saint Louis, MO 63108-2707 | 3146529525 | PROFESSIONAL EYE CARE INC |
| 2520 James St, Scott City, MO 63780-1219 | 5732642424 | PROFESSIONAL EYE CARE INC |
| 907 W Malone Ave, Sikeston, MO 63801-2425 | 5734715541 | PROFESSIONAL EYE CARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | PROFESSIONAL EYE CARE INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua P Boucher | Optometry | Professional Eye Care Inc | 2836 Benton Blvd, Kansas City, MO 64128-1140 |
| Marc A Franke | Optometry | Professional Eye Care Inc | 10160 Restoration Circle Rd, Mineral Point, MO 63660-8565 |
| Street Address |
10441 INTERNATIONAL PLAZA DR |
| City | SAINT ANN |
| State | MO |
| Zip | 63074-1805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher T Labonte | Internal Medicine | Christopher T Labonte Md LLC | 10441 International Plaza Dr, Saint Ann, MO 63074-1805 |
| Eric S Baggstrom | Internal Medicine | Christopher T Labonte Md LLC | 10441 International Plaza Dr, Saint Ann, MO 63074-1805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Traci L Hahn | Optometry | Nu-crown, LLC | 10465 Saint Charles Rock Rd, Saint Ann, MO 63074-1829 |
| Mark D Wade | Optometry | Nu-crown, LLC | 10465 Saint Charles Rock Rd, Saint Ann, MO 63074-1829 |
| Hillard K Cohen | Internal Medicine | Hillard K Cohen Inc | 500 Nw Plaza Dr, Suite 417, Saint Ann, MO 63074-2219 |
| City | SAINT ANN |
| Zip Code | 63074 |
| Specialty | OPTOMETRY |
| City + Specialty | SAINT ANN + OPTOMETRY |
Please comment or provide details below to improve the information on Stephen E Mullen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.