# MULLIS EYE INSTITUTE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MULLIS EYE INSTITUTE, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073647848
- **Legal business name:** MULLIS EYE INSTITUTE, INC
- **Authorized official:** O. LEE MULLIS MD (PRESIDENT)
- **Authorized official phone:** (850) 763-6666

## Contact information

- **Practice address:** 4320 5TH AVE, MARIANNA, FL 32446-2182
- **Practice address phone:** (850) 526-7775
- **Practice address fax:** (850) 763-6665
- **Mailing address:** 1600 JENKS AVE, PANAMA CITY, FL 32405-4644
- **Mailing address phone:** (850) 763-6666
- **Mailing address fax:** (850) 763-6665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | ME0027750 | FL | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 03/13/2008