Provider Demographics
NPI:1841230521
Name:MULLER, DENNIS J (OD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:J
Last Name:MULLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9128 W JUDGE PEREZ DR
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-4527
Mailing Address - Country:US
Mailing Address - Phone:504-281-2242
Mailing Address - Fax:
Practice Address - Street 1:9128 W JUDGE PEREZ DR
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-4527
Practice Address - Country:US
Practice Address - Phone:504-281-2242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA898-016T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1314625Medicaid
LA1710995402OtherGROUP NPI #
LA1314625Medicaid
LA48481Medicare PIN
LAT-19570Medicare UPIN