Organization
MULLINS VISION ASSOCIATES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH H. MULLINS JR. O.D. (CHIEF MANAGER)
(931) 526-6711
Entity
Organization
Contact information
Practice address
585 E 10TH ST, COOKEVILLE, TN 38501-1886
(931) 526-6711
(931) 526-6712
Mailing address
585 E 10TH ST, COOKEVILLE, TN 38501-1886
(931) 526-6711
(931) 526-6712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323688
UNITED HEALTHCARE
TN
01
—
4152782
BLUE CROSS BLUE SHIELD
—
01
—
53884
DAVIS VISION
—
Enumeration date
08/24/2007
Last updated
04/07/2008
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