Magnolia Place Eyecare Llc | |
1609 Gilmer Ave, Tallassee, AL 36078-2343 | |
(334) 283-6535 | |
(334) 283-5996 |
Full Name | Magnolia Place Eyecare Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 1609 Gilmer Ave, Tallassee, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922767136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Paris Mullins |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447367883 PECOS PAC ID: 6800911777 Enrollment ID: I20100915000744 |
Provider Name | Nicholas Harding Mullins |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508430042 PECOS PAC ID: 1052709458 Enrollment ID: I20211103001511 |
Mailing Address | Practice Location Address |
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Magnolia Place Eyecare Llc 1609 Gilmer Ave, Tallassee, AL 36078-2343 Ph: (334) 283-6535 | Magnolia Place Eyecare Llc 1609 Gilmer Ave, Tallassee, AL 36078-2343 Ph: (334) 283-6535 |
Paris Mullins Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1609 Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-6535 Fax: 334-283-5996 | |
Dr. Nicholas Harding Mullins, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1609 Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-6535 |