BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS P.C. (NPI# 1568493351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568493351 |
| Entity Type | Organization |
| Organization Name | BOUQUET MULLIGAN DEMAIO EYE PROFESSIONALS P.C. |
| 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 | 2006-07-06 |
| Last Update Date | 2009-07-01 |
| 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 | OEG000036 | PA | Eye and Vision Services Providers |
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| 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 |
| 1164503934 | Bouquet Mulligan Eye Professionals Ltd | Eyewear Supplier (Equipment, not the service) | 233 W Penn Ave, Cleona, PA 17042-3230 | 2006-10-18 |
| 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 | 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 |
|---|---|---|---|---|
| 1457357790 | Raymond Demaio | Ophthalmology | 233 W Penn Ave, Cleona, PA 17042-3230 | 2005-06-22 |
| 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 | ||||
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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.