Jerry Mullen (NPI# 1619073749, PAC ID# 4284742925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1619073749 |
PAC ID by PECOS | 4284742925 |
Professional Enrollment ID | I20120229000449 |
Full Name | Jerry Mullen |
Address |
7101 Nw Expressway Suite 130 Oklahoma City OK 73132-1584 |
Gender | M |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 1979 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
7101 Nw Expressway, Suite 130, Oklahoma City, OK 73132-1584 |
Street Address |
7101 NW EXPRESSWAY SUITE 130 |
City | OKLAHOMA CITY |
State | OK |
Zip | 73132-1584 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen M Funderburg | Registered Dietitian Or Nutrition Professional | Nutrition Specialists, PC | 5601 Nw72nd St, Suite 200, Warr Acres, OK 73132 |
Thien Nguyen | Optometry | Butcher Optical IIi Inc | 8549 N Rockwell Ave, Oklahoma City, OK 73132-1521 |
Rodney S Claborn | Optometry | Butcher Optical IIi Inc | 8549 N Rockwell Ave, Oklahoma City, OK 73132-1521 |
John D Chiaf | Chiropractic | 7236 N W Expwy, Oklahoma City, OK 73132-1543 | |
Travis G Gittins | Optometry | 8812 N Council Rd, Oklahoma City, OK 73132-3246 | |
Stacey R Rockett | Optometry | Brixton Opticians | 8812 N Council Rd, Oklahoma City, OK 73132-3246 |
Tracy Lynn Calamaio | Chiropractic | 7716 N W 85th Terrace A, Tlc Chiropractic, Oklahoma City, OK 73132-3315 | |
David Waggoner | Chiropractic | 7000 Nw Expressway, Suite H, Oklahoma City, OK 73132-3509 | |
Jenny R Mikes | Registered Dietitian Or Nutrition Professional | 8512 Tiffany Dr, Oklahoma City, OK 73132-4743 | |
Shawna Nichole Ortiz | Chiropractic | 6444 Northwest Expwy, Oklahoma City, OK 73132-5104 | |
Find all physicians in zip 73132 |
City | OKLAHOMA CITY |
Zip Code | 73132 |
Specialty | OPTOMETRY |
City + Specialty | OKLAHOMA CITY + OPTOMETRY |
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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.