MULLIS EYE INSTITUTE INC NPI 1750497012

NPI Information

  • NPI: 1750497012
  • Provider Name: MULLIS EYE INSTITUTE INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: PHYSICIAN GROUP
  • Address: 1600 JENKS AVE
    PANAMA CITY, FL
    ZIP 32405
  • Phone: (850) 763-6666

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NPI Details

MULLIS EYE INSTITUTE INC is a specialist in Panama City, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MULLIS EYE INSTITUTE INC NPI is 1750497012. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Physician Group.

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 Oscar Mullis .
The authorized official title is President and has the following contact phone number (850) 763-6666.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 3/20/2009.

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
1174400000XSpecialistYes

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 Other Provider Identifier Issuer
1CA5964MEDICARE PINGEORGIA
2251263700MEDICAIDFLORIDA
321585MEDICARE PINFLORIDA
4301351100MEDICAIDFLORIDA
50827170001MEDICARE PINFLORIDA
621585CMEDICARE PINFLORIDA

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: 3/30/2025

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