JERRY L. MULLEN, O.D., P.C.


Address: 7101 Nw Expressway, #130, Oklahoma City, OK 73132-1584
Phone: 4057217450

JERRY L. MULLEN, O.D., P.C. (NPI# 1285841601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285841601
Entity Type Organization
Organization Name JERRY L. MULLEN, O.D., P.C.
Practice Address 7101 Nw Expressway
#130
Oklahoma City
OK 73132-1584
Practice Telephone 4057217450
Practice Fax Number 4057217491
Mailing Telephone 4057217450
Mailing Fax Number 4057217491
Enumeration Date 2007-05-16
Last Update Date 2008-09-24
Authorized Official Name JERRY LEE MULLEN (PRESIDENT)
Authorized Official Telephone 4057217450
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 963 OK Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK MEDICARE RAILROAD P00068003 01
OK 200083220B 05
OK 200083220A 05

Office Location

Street Address 7101 NW EXPRESSWAY
#130
City OKLAHOMA CITY
State OK
Zip Code 73132-1584

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619073749 Jerry Lee Mullen Optometrist 7101 Nw Expressway, #130, Oklahoma City, OK 73132-1584 2006-09-16
1992339030 Brixton Family Dental Clinic/Center 7101 Nw Expressway, Oklahoma City, OK 73132-1579 2020-02-27
1063831188 Kasey Beth Brown Student in an Organized Health Care Education/Training Program 7101 Nw Expressway, Ste 335, Oklahoma City, OK 73132 2014-04-16
1740515436 Ronald Luke Rebenitsch Ophthalmology 7101 Nw Expressway, Suite 335, Oklahoma City, OK 73132-1579 2009-10-13
1275661225 Southwest Eye Institute, Inc. Ophthalmology 7101 Nw Expressway, Suite 335, Oklahoma City, OK 73132-1561 2007-03-01
1083742027 Gary Waine Wilson Ophthalmology 7101 Nw Expressway, Suite 335, Oklahoma City, OK 73132-1561 2007-03-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790348266 Solid Rock Home Care Assistance LLC Registered Nurse 6408 Galaxie Dr., Oklahoma City, OK 73132 2019-04-19
1427525443 Allison Latham Counselor 6812 St. Pl., Oklahoma City, OK 73132 2018-10-29
1811426182 Larry D. Brown Counselor 4717 Nw 70th St., Oklahoma City, OK 73132 2017-06-08
1639600307 Tram Nguyen Physician Assistant 500 Sw44th Street, Oklahoma City, OK 73132 2017-03-24
1386190973 Moneka Jeffers Counselor 8117 Nw 81st St, Oklahoma City, OK 73132 2016-09-01
1861873085 Express Family Care LLC Clinic/Center 7117 W. Wilshire Blvd, Oklahoma City, OK 73132 2015-06-12
1689941809 Ade A Bajulaiye Psychologist 8122 N.w. 78th Ter, Okc, Oklahoma, OK 73132 2011-11-17
1457633281 Chandell Bell Counselor 6908 Woodlake Dr, Okc, OK 73132 2011-09-19
1588944615 Jason Bennell Rayfield Social Worker 7221 Edenborough, Oklahoma City, OK 73132 2011-08-20
1952600785 Derell Jovan Spires Counselor 9242 North Mcarthur Blvd Apt A, Oklahoma City, OK 73132 2011-03-18
Find all providers in zip 73132

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799113 Mel Vision LLC Optometrist 415 S Macarthur Blvd, Oklahoma City, OK 73128-1010 2020-10-27
1609475540 Mel Vision LLC Optometrist 6310 N May Ave, Oklahoma City, OK 73112-4298 2020-10-21
1346849528 Mel Vision LLC Optometrist 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 2020-10-20
1861006918 Haley Ruth Rasp Sparks Optometrist 8812 N Council Rd, Oklahoma City, OK 73132-3246 2020-09-06
1285252213 Mid-del Vision Source Pllc Optometrist 1 Ne 2nd St Ste 104, Oklahoma City, OK 73104-2224 2020-07-07
1952948614 Hero Vision of Okc Pllc Optometrist 4836 Nw 23rd St, Oklahoma City, OK 73127-1809 2019-12-02
1285149294 Snowden Eye Care, Pllc Optometrist 7200 S Penn Ave Ste D, Oklahoma City, OK 73159-3336 2017-12-13
1215466123 Vantage Vision Care PC Optometrist 1901 Nw Expressway Ste 2058, Oklahoma City, OK 73118-9229 2017-06-06
1609322809 Jai Sia Ram PC Optometrist 10740 South May Avenue, Suite 115, Oklahoma City, OK 73170 2016-08-28
1346693769 Pritesh Patel Optometrist 10740 S. May Ave, Suite 115, Oklahoma City, OK 73170-5152 2016-07-20
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73132

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Dataset Information

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.

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