| Magnolia Place Eyecare Llc | |
|
1609 Gilmer Ave, Tallassee, AL 36078-2343 | |
| (334) 283-6535 | |
| (334) 283-5996 |
| Full Name | Magnolia Place Eyecare Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |