BOUQUET MULLIGAN EYE PROFESSIONALS LTD (NPI# 1164503934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164503934 |
| Entity Type | Organization |
| Organization Name | BOUQUET MULLIGAN EYE PROFESSIONALS LTD |
| Practice 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 | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES P BOUQUET (OWNER) |
| Authorized Official Telephone | 7172720581 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| 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 |
| Street Address |
233 W PENN AVE |
| City | CLEONA |
| State | PA |
| Zip Code | 17042-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357790 | Raymond Demaio | Ophthalmology | 233 W Penn Ave, Cleona, PA 17042-3230 | 2005-06-22 |
| 1851628572 | Charles A Druckman | Optometrist | 233 W Penn Ave, Cleona, PA 17042-3230 | 2009-11-17 |
| 1932259777 | Beth Ann Walmer | Optometrist | 233 W Penn Ave, Cleona, PA 17042-3230 | 2007-01-12 |
| 1568493351 | Bouquet Mulligan Demaio Eye Professionals P.C. | Optometrist | 233 W Penn Ave, Cleona, PA 17042-3230 | 2006-07-06 |
| 1538111620 | Andrea Govelovich | Optometrist | 233 W Penn Ave, Cleona, PA 17042-3230 | 2006-05-17 |
| 1972573889 | James P Bouquet | Optometrist | 233 W Penn Ave, Cleona, PA 17042-3230 | 2006-01-24 |
| 1679553945 | Laura L Demaio | Optometrist | 233 W Penn Ave, Cleona, PA 17042-3230 | 2006-01-20 |
| 1598745879 | Robert K Hoglund | Optometrist | 233 W Penn Ave, Cleona, PA 17042-3230 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636053 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 540 Gateway Ave, Chambersburg, PA 17201-8107 | 2020-10-14 |
| 1568060416 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 C Mill Rd, Oaks, PA 19456 | 2020-10-13 |
| 1265030233 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 159 Pocono Cmns, Stroudsburg, PA 18360-8703 | 2020-10-13 |
| 1225636293 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 616 N West End Blvd, Quakertown, PA 18951-4100 | 2020-10-13 |
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376140582 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Easton Rd, Warrington, PA 18976-2514 | 2020-10-01 |
| 1689281735 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Alan Wood Rd, Conshohocken, PA 19428-1139 | 2020-09-23 |
| 1770199887 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2250 York Crossing Dr, York, PA 17408-4700 | 2020-09-23 |
| 1639785967 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 550 Madison Ave, Reading, PA 19605-2412 | 2020-09-22 |
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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| 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.