Mullins, John C

Mullins, John C is an sole proprietor health care provider with primary practice located at 32730 Walker Rd Ste J1 , Avon Lake OH 44012-2235. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mullins, John C can be contacted via phone (440) 961-2040.

Contact Information

Primary practice address
32730 Walker Rd Ste J1 Avon Lake OH 44012-2235
Fax: (440) 961-2041
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4219/T230 Ohio

Profile Details

NPI number 1043276223
LBN Legal business name Mullins, John C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Sep 24th, 2018 - about 6 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 1043276223 NPPES
Ohio MEDICAID 0826904

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