Provider Type Icon

STEPHEN ELI MULLEN O.D. NPI 1962422519


NPI Information

NPI: 1962422519
Provider Name: STEPHEN ELI MULLEN, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
79 MAPLE DR
PLATTE CITY, MO
ZIP 64079
Phone: (816) 858-3954
Get Directions

Stephen Eli Mullen, O.D. is an optometrist in Platte City, MO with 20 years of experience. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Stephen Eli Mullen, O.D. NPI is 1962422519. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduation Year:2004

The provider's business location address is:

79 MAPLE DR
PLATTE CITY, MO
ZIP 64079-640
Phone: (816) 858-3954
Fax: (816) 858-3954

The NPI 1962422519 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/9/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist046009712ILLINOISNo
2152W00000XOptometrist2004018249MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1256891034MEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
2319083408MEDICAIDMISSOURI
3P00245762MEDICARE ID-TYPE UNSPECIFIEDMISSOURIRR MCR IND #
4V01591MEDICARE UPIN
5C40D609MEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
6P00245759MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR MCR IND #
7256891033MEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
8256891639MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIIND #
9P00245761MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR MCR IND #
100480010002MEDICARE NSC
11K14526MEDICARE ID-TYPE UNSPECIFIEDILLINOISIND #
12P00240099MEDICARE ID-TYPE UNSPECIFIEDMISSOURIRR MCR IND #
13256891641MEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
14C40D609BMEDICARE ID-TYPE UNSPECIFIEDMISSOURIIND #
15K14542MEDICARE ID-TYPE UNSPECIFIEDILLINOISIND #

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.