Individual
JOHN C MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
32730 WALKER RD STE J1, AVON LAKE, OH 44012-2235
(440) 961-2040
(440) 961-2041
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4219/T230
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0826904
—
OH
Enumeration date
04/25/2006
Last updated
09/24/2018
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