SHANNON M MULLIGAN (NPI# 1528018157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528018157 |
| Entity Type | Individual |
| Full Name | SHANNON M MULLIGAN |
| Credential | O.D. |
| Practice Address |
604 Lakewood Rd Waterbury CT 06704-2419 |
| Mailing Address |
87 Grandview Ave Waterbury CT 06708-2514 |
| Practice Telephone | 2035750900 |
| Practice Fax Number | 2035739894 |
| Mailing Telephone | 2035742020 |
| Mailing Fax Number | 2035962230 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002345 | CT | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728052 | Shannon Mulligan | Counselor | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2018-08-03 |
| 1699180067 | Shannon K Mulligan | Genetic Counselor, MS | 6410 Fannin St, Suite 1217, Houston, TX 77030-3000 | 2014-06-24 |
| Street Address |
604 LAKEWOOD RD |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508230228 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 604 Lakewood Rd, Waterbury, CT 06704-2419 | 2015-11-18 |
| 1164474821 | Opticare Eye Health Centers, Inc. | Eyewear Supplier (Equipment, not the service) | 604 Lakewood Rd, Waterbury, CT 06704-2419 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
| 1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
| 1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
| 1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
| Find all providers in zip 06704 | ||||
| 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 |
|---|---|---|---|---|
| 1477097285 | Oec Waterbury LLC | Optometrist | 3528 E Main St, Waterbury, CT 06705-3873 | 2016-12-13 |
| 1386939510 | Fabian Cesar Villacis | Optometrist | 1320 W Main St Ste 3, Waterbury, CT 06708-3129 | 2011-06-15 |
| 1801966601 | Barbara Hope Kuznesof-knee | Optometrist | 910 Wolcott St., C/o Walmart Vision Center, Waterbury, CT 06705 | 2006-11-09 |
| 1508947029 | Kimberly Sue Owens | Optometrist | 910 Wolcott Street, Vision Center, Waterbury, CT 06705 | 2006-10-18 |
| 1497865729 | Domenico Trocchi | Optometrist | 481 Wolcott St, Waterbury, CT 06705-1247 | 2006-08-30 |
| 1104930619 | John Joseph Pulaski | Optometrist | 625 Wolcott St, Waterbury, CT 06705-1342 | 2006-08-19 |
| 1083615850 | Audrey S Fung | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2005-08-03 |
| 1841298080 | Thomas W Meaker | Optometrist | 31 N Main St, Waterbury, VT 05676-1835 | 2005-07-12 |
| 1487268702 | Clarity Eye Care LLC | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2020-09-03 |
| 1548874936 | Refocus Eye Health of Central Connecticut, P.C. | Optometrist | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2020-09-02 |
| Find all providers in WATERBURY | ||||
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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.