Mullen, Amy Jean

Mullen, Amy Jean is an sole proprietor health care provider with primary practice located at 6315 Pearl Rd Ste 206 , Parma Heights OH 44130-3074. She recently has 2 registered licenses in different health care specialties including Suppliers / Eyewear Supplier (Equipment, not the service), Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is her primary health care specialty. Mullen, Amy Jean can be contacted via phone (440) 613-5222.

Contact Information

Primary practice address
6315 Pearl Rd Ste 206 Parma Heights OH 44130-3074
Phone: (440) 613-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X
Eye and Vision Services Providers / Optician 156FX1800X OP.007004-S Ohio

Profile Details

NPI number 1710382395
LBN Legal business name Mullen, Amy Jean
Credentials ABOC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2014
Last updated Dec 16th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710382395 NPPES
Ohio MEDICAID 0338913

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