JONATHAN WAYNE MCMULLIN OD
NPI 1205391745
Optometrist in Rome, GA

Q: What is Jonathan Mcmullin's NPI number?

The NPI number for Jonathan Mcmullin is 1205391745. It was assigned to this individual provider in the NPPES registry on February 8, 2019. The provider is also known as Jon Mcmullin Od.

Q: What is Jonathan Mcmullin's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Mcmullin was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 08, 2019PECOS Enrolled

550 REDMOND RD NW, ROME, GA 30165(762) 235-3200(706) 233-8503 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jonathan Wayne Mcmullin Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN WAYNE MCMULLIN OD (NPI 1205391745) is an individual optometrist in Rome, Georgia, licensed in Georgia (OPT003664) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205391745

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJONATHAN WAYNE MCMULLINCredential: OD

Location Address550 REDMOND RD NWRome, GA 30165-1416

Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (762) 235-1000

Phone(762) 235-3200

Fax(706) 233-8503

Sole ProprietorNo

Enumeration DateFebruary 8, 2019

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1205391745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in GA · OPT003664

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

550 REDMOND RD NW, Rome, GA 30165

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Other Names 1

Other Name (5)Jon Mcmullin Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Wayne Mcmullin Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Mcmullin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mower Vision Source, PLLC

2,026 mi

Optometrist

1 JIM CLEMENTS WAY
Selah, WA 98942

Reassigned Medicare billing, Washington enrollment
3 clinicians in this Medicare group

NPI 1033517149 (509) 697-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

23 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services18 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

17 services17 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

14 services14 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY NICOLE WILBANKS NP-C

Nurse Practitioner

550 REDMOND RD NW, SUITE A
ROME, GA 30165

Floyd County (706) 233-8506

SONIA ELIZABETH TURNER FNP-BC

Nurse Practitioner