Individual
DR. JOHN E MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5958 SNOW HILL RD, SUITE 136, OOLTEWAH, TN 37363
(423) 910-0412
(423) 910-0426
Mailing address
PO BOX 524, OOLTEWAH, TN 37363
(423) 910-0412
(423) 910-0426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000002639
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39470471
MEDICARE
TN
05
—
39470471
—
TN
01
—
4140095
BCBS
TN
Enumeration date
11/09/2006
Last updated
09/08/2025
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