MULLIS EYE INSTITUTE INC NPI 1578575064

NPI Information

NPI: 1578575064
Provider Name: MULLIS EYE INSTITUTE INC

Other Name: AMBULATORY SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1600 JENKS AVE
PANAMA CITY, FL
ZIP 32405
Phone: (850) 763-6666
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MULLIS EYE INSTITUTE INC is an ambulatory surgical clinic center in Panama City, FL. MULLIS EYE INSTITUTE INC NPI is 1578575064. The provider is registered as an organization entity type.
The provider Other Name Is Ambulatory Surgical Center.

The provider's business location address is:

1600 JENKS AVE
PANAMA CITY, FL
ZIP 32405-644
Phone: (850) 763-6666
Fax: (850) 763-6665

The provider's authorized official is Darren Payne .
The authorized official title is Vice President and has the following contact phone number (850) 763-6666.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 11/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	948	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	F1022	MEDICARE PIN	FLORIDA
2	490002550	MEDICARE PIN	GEORGIA
3	062935900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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