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Mullis Eye Institute INC

Optometrist in Niceville, FL. Organization (NPI-2).

NPI number1164556932
StatusActive
Last updated in NPPESMar 13, 2008

Details

NPI
1164556932
Entity type
Organization (NPI-2)
Legal business name
Mullis Eye Institute INC
Organization subpart
Yes
Enumeration date
Mar 15, 2007
Last updated
Mar 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristME0027750FLYes

Practice location

1003 College Blvd W Ste 4
Twin Cities Medical Bldg
Niceville, FL 32578-1060

Phone 850-678-5338 · Fax 850-763-6665

Mailing address

1600 Jenks Ave
Panama City, FL 32405-4644

Phone 850-763-6666 · Fax 850-763-6665

Authorized official

O Lee Mullis
President
8507636666

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