| Tara K. Mullen, O.d., P.c. | |
|
4525 Highway 411, Suite B, Madisonville, TN 37354-1536 | |
| (423) 442-8649 | |
| (423) 420-3441 |
| Full Name | Tara K. Mullen, O.d., P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4525 Highway 411, Madisonville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922204007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TN2011 (Tennessee) | Primary |
| Provider Name | Tara K Mullen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023108560 PECOS PAC ID: 6305739004 Enrollment ID: I20040207000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara K. Mullen, O.d., P.c. 4525 Highway 411, Suite B, Madisonville, TN 37354-1536 Ph: (423) 442-8649 | Tara K. Mullen, O.d., P.c. 4525 Highway 411, Suite B, Madisonville, TN 37354-1536 Ph: (423) 442-8649 |
Dr. Tara K. Mullen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4525 Highway 411, Suite B, Madisonville, TN 37354 Phone: 423-442-8649 Fax: 423-420-3441 | |
Sullins Eye Care P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 620 Englewood Rd, Madisonville, TN 37354 Phone: 423-442-2806 |