BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS (NPI# 1639506843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639506843 |
| Entity Type | Organization |
| Organization Name | BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS |
| Practice Address |
600 Free Mason Drive Elizabethtown PA 17022 |
| Mailing Address |
233 W Penn Ave Cleona PA 17042-3230 |
| Practice Telephone | 7172720581 |
| Practice Fax Number | 7172745889 |
| Mailing Telephone | 7172720581 |
| Mailing Fax Number | 7172745889 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| 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 |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000209 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PTAN | BO867272 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598976581 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 1676 S Market St, Elizabethtown, PA 17022-2853 | 2007-05-24 |
| Street Address |
600 FREE MASON DRIVE |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780011999 | Bouquet Mulligan Eye Professionals Ltd | Eyewear Supplier (Equipment, not the service) | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| 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 |
| 1003145228 | Bryan M Hoyt | Physical Therapist | 626 S. Market Street, Elizabethtown, PA 17022 | 2009-12-17 |
| Find all providers in zip 17022 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1982263174 | Borders Eyecare Specialists Pllc | Optometrist | 611 W Poplar St Ste C4a, Elizabethtown, KY 42701-2464 | 2019-06-11 |
| 1891281994 | Sara Rene' Borders | Optometrist | 1609 N Dixie Ave, Elizabethtown, KY 42701-6473 | 2018-07-02 |
| 1467948588 | Britt Austin Borders | Optometrist | 1609 N Dixie Ave Ste 100, Elizabethtown, KY 42701-7494 | 2018-07-02 |
| 1053793281 | Christian Scott Zechman | Optometrist | 282 Maytown Rd Ste 100, Elizabethtown, PA 17022-9302 | 2015-06-24 |
| 1598976581 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 1676 S Market St, Elizabethtown, PA 17022-2853 | 2007-05-24 |
| 1336299684 | Bladen Eye Center, O.d., P.a. | Optometrist | 409 East Broad Street, Elizabethtown, NC 28337-2589 | 2007-01-11 |
| 1114076288 | Teresa Ann Wise | Optometrist | 2904 Dolphin Dr, Elizabethtown, KY 42701-7102 | 2007-01-09 |
| 1194818971 | Rebman Eyecare, P.C. | Optometrist | 282 Maytown Rd, Ste 100, Elizabethtown, PA 17022-9313 | 2006-10-02 |
| 1053347310 | Dr. Sasha Radford, LLC | Optometrist | 313 Nicholas Ridge Dr, Suite E-7, Elizabethtown, KY 42701-4201 | 2006-06-25 |
| Find all providers in ELIZABETHTOWN | ||||
| 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.