Jerry L. Mullen, O.d., P.c. | |
7101 Nw Expressway, #130, Oklahoma City, OK 73132-1584 | |
(405) 721-7450 | |
(405) 721-7491 |
Full Name | Jerry L. Mullen, O.d., P.c. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 7101 Nw Expressway, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285841601 | NPI | - | NPPES |
200083220A | Medicaid | OK | |
P00068003 | Other | OK | MEDICARE RAILROAD |
200083220B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 963 (Oklahoma) | Primary |
Provider Name | Jerry Mullen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619073749 PECOS PAC ID: 4284742925 Enrollment ID: I20120229000449 |
Mailing Address | Practice Location Address |
---|---|
Jerry L. Mullen, O.d., P.c. 7101 Nw Expressway, #130, Oklahoma City, OK 73132-1584 Ph: (405) 721-7450 | Jerry L. Mullen, O.d., P.c. 7101 Nw Expressway, #130, Oklahoma City, OK 73132-1584 Ph: (405) 721-7450 |
Dr. Gary Robert Fox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10320 S Pennsylvania Ave, Suite #103, Oklahoma City, OK 73159 Phone: 405-691-3937 Fax: 405-691-0312 | |
Jenna Vergeldt, OD Optometrist Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-4017 |