Provider Demographics
NPI:1003699448
Name:MUELLER OPHTHALMOLOGY PLLC
Entity Type:Organization
Organization Name:MUELLER OPHTHALMOLOGY PLLC
Other - Org Name:MUELLER VISION LASIK & CATARACT EYE SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:H
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:II
Authorized Official - Credentials:DO, PHD
Authorized Official - Phone:817-734-6006
Mailing Address - Street 1:1424 16TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-2892
Mailing Address - Country:US
Mailing Address - Phone:817-734-6006
Mailing Address - Fax:
Practice Address - Street 1:4000 BRYANT IRVIN RD STE 216
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4153
Practice Address - Country:US
Practice Address - Phone:817-734-6006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic SurgeryGroup - Single Specialty