MEDICARE: DR. JOSEPH J MUELLER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	VUT003572	NY

General Provider Information

NPI Number	:	1093710642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH J MUELLER O.D.

Provider Business Mailing Address
First Line	:	382 MAIN ST
Second Line	:
City	:	SAUGERTIES
State	:	NY
Zip	:	12477-1406
Country	:	US
Telephone Number	:	845-246-2872
Fax Number	:	845-246-7628

Provider Business Practice Location Address
First Line	:	382 MAIN ST
Second Line	:
City	:	SAUGERTIES
State	:	NY
Zip	:	12477-1406
Country	:	US
Telephone Number	:	845-246-2872
Fax Number	:	845-246-7628

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2005
Last Update Date	:	06/13/2012

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