BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS (NPI# 1598976581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598976581 |
| Entity Type | Organization |
| Organization Name | BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS |
| Practice Address |
1676 S Market St Elizabethtown PA 17022-2853 |
| Practice Telephone | 7172720581 |
| Mailing Telephone | 7172720581 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-10-10 |
| Authorized Official Name | MR. GREGORY M BRACALE (ADMININSTRATOR) |
| Authorized Official Telephone | 7172720581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Street Address |
1676 S MARKET ST |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124239124 | Bouquet Mulligan Demaio Ltd | Eyewear Supplier (Equipment, not the service) | 1676 S Market St, Elizabethtown, PA 17022-2853 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Find all providers in zip 17022 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528458023 | Senior Health Services LLC | Ophthalmology | 2410 Ring Rd, Suite 400, Elizabethtown, KY 42701-7994 | 2015-02-04 |
| 1174636849 | Shelby Stephenson Md | Ophthalmology | 300 Mckay Street, Suite D, Elizabethtown, NC 28337 | 2006-08-16 |
| 1609877323 | Christopher G Knight | Ophthalmology | 1109 Woodland Dr, Elizabethtown, KY 42701-2749 | 2005-08-03 |
| 1184811077 | Benjamin L Proctor | Ophthalmology | 1109 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-09-25 |
| 1235130956 | Donald Anthony Smith Jr. | Ophthalmology | 1109 Woodland Dr, Elizabethtown, KY 42701-2749 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256782 | Maria Manquez Hatta | Ophthalmology | 840 Walnut St Fl 14, Philadelphia, PA 19107-5109 | 2020-08-18 |
| 1871115691 | Harold P Koller Md LLC | Ophthalmology | 1650 Huntingdon Pike Ste 208, Meadowbrook, PA 19046-8006 | 2020-05-14 |
| 1851938039 | Katherine Marie Mehalik | Ophthalmology | 301 S Hills Vlg Ste 2115a, Pittsburgh, PA 15241-1400 | 2019-12-05 |
| 1275177602 | Vision Innovation Centers of Pa LLC | Ophthalmology | 1000 Market St Ste 5, Bloomsburg, PA 17815-2601 | 2019-10-29 |
| 1255982963 | Priyanka Kukkar | Ophthalmology | 203 Lothrop Street, 8th Floor, Upmc Eye Center, Pittsburgh, PA 15213 | 2019-09-24 |
| 1871149716 | Harrisburg Eye Associates PC | Ophthalmology | 4700 Union Deposit Rd Ste 220, Harrisburg, PA 17111-3774 | 2019-08-15 |
| 1821640459 | Stephanie Nicole Kletke | Ophthalmology | 3500 Civic Center Blvd Fl 11, Philadelphia, PA 19104-4395 | 2019-07-13 |
| 1528623477 | Jay Kumar Chhablani | Ophthalmology | 203 Lothrop St Ste 821.2, Pittsburgh, PA 15213-2548 | 2019-05-07 |
| 1295290179 | Erika Massicotte | Ophthalmology | 203 Lothrop Street, Suite 821.2 Upmc Eye Center, Pittsburgh, PA 15213 | 2019-02-05 |
| 1417441692 | Blue Bell Eye Care & Surgery, P.C. | Ophthalmology | 686 Dekalb Pike Ste 202, Blue Bell, PA 19422-1258 | 2018-06-20 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
Please comment or provide details below to improve the information on BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.