DR. KENDALL CLARK MULLINS (O.D.) – Optometrist, NPI 1144364043
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPTOMETRY in GA
Provider Addresses for DR. KENDALL CLARK MULLINS (O.D.)
3140 SEVEN PINES CT UNIT 302
ATLANTA, GA 303395853
Phone: (205) 585-6461
Type: Mailing
1046 RIDGE AVE SW
ATLANTA, GA 303151640
Phone: (404) 688-1350
Type: Location
1735 East Main Street
Prattville, AL 360665515
Phone: (334) 358-2188
Fax: (334) 358-0766
Type: Location
8436 Vaughn Road
Montgomery, AL 361175515
Phone: (334) 271-3900
Fax: (334) 271-3915
Type: Location
1100 Lay Dam
Clanton, AL 350455515
Phone: (205) 755-1351
Fax: (205) 755-0351
Type: Location
70 COUNTY ROAD 941
CLANTON, AL 350457979
Phone: (205) 585-6461
Type: Mailing
9220 MARNE RD
FORT MOORE, GA 319055515
Phone: (706) 682-3938
Fax: (706) 682-3931
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,631.
Total Amount is formed as General ($1,631) + Research ($0) + Ownership ($0) = $1,631.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: CooperVision Inc. ($1,576).
Total Amount
$1,631
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,631
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $1,576 |
| RxSight Inc | $36 |
| Johnson & Johnson Vision Care, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090303000548 | I | Optometry | GA | TBD |
| I20100726000403 | I | Optometry | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30339)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| - | MO | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | IL | |
| O P T O M E T R Y | AL | |
| - | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | MO |
Reviews
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