Shannon M Mulligan (NPI# 1528018157, PAC ID# 1052448966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1528018157 |
PAC ID by PECOS | 1052448966 |
Professional Enrollment ID | I20100426000260 |
Full Name | Shannon M Mulligan |
Organization Legal Name | MYEYEDR OPTOMETRY OF CONNECTICUT, LLC |
Address |
604 Lakewood Rd Waterbury CT 06704-2419 |
Phone Number | 2035750900 |
Gender | F |
Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
Graduation Year | 1993 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 1557666237 |
Number of Group Practice Members | 44 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
604 Lakewood Rd, Waterbury, CT 06704-2419 | 2035750900 | MYEYEDR OPTOMETRY OF CONNECTICUT, LLC |
Organization Legal Name | MYEYEDR OPTOMETRY OF CONNECTICUT, LLC |
Physicians | 42 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amara Akbar | Optometry | Myeyedr Optometry of Connecticut, LLC | 997 Main St, Watertown, CT 06795-2914 |
Roderick Lucien Swift | Optometry | Myeyedr Optometry of Connecticut, LLC | 65 N St, Danbury, CT 06810-5640 |
Tiffany Nicole Deleon | Optometry | Myeyedr Optometry of Connecticut, LLC | 58 Maple St, Suite 3, Naugatuck, CT 06770-4104 |
Jamee Patel | Optometry | Myeyedr Optometry of Connecticut, LLC | 145 Wakelee Ave, Ansonia, CT 06401-1176 |
Sidet Sou | Optometry | Myeyedr Optometry of Connecticut, LLC | 2165 Dixwell Ave, Hamden, CT 06514-2116 |
Stephen M Dincher | Optometry | Myeyedr Optometry of Connecticut, LLC | 100 Main St N, Southbury, CT 06488-3840 |
Joel Roffer | Optometry | Myeyedr Optometry of Connecticut, LLC | 38 Fenn Rd, Newington, CT 06111-2212 |
Megan Suzanne Young | Optometry | Myeyedr Optometry of Connecticut, LLC | 400 Talcottville Rd, Suite 1, Vernon, CT 06066-7032 |
Peter A Remillard | Optometry | Myeyedr Optometry of Connecticut, LLC | 1785 Highland Ave, Cheshire, CT 06410-1272 |
Sean C Mcloughlin | Optometry | Myeyedr Optometry of Connecticut, LLC | 18 W Avon Rd, Avon, CT 06001-3583 |
Street Address |
604 LAKEWOOD RD |
City | WATERBURY |
State | CT |
Zip | 06704-2419 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin So | Optometry | Myeyedr Optometry of Connecticut, LLC | 604 Lakewood Rd, Waterbury, CT 06704-2419 |
Name | Specialty | Organization | Address |
---|---|---|---|
Aryeh I Herman | Psychologist, Clinical | State of Connecticut | 1669 Thomaston Ave, Waterbury, CT 06704-1026 |
Sharry L Woods Chery | Clinical Social Worker | State of Connecticut | 1669 Thomaston Ave, Waterbury, CT 06704-1026 |
Leon Hopkins | Clinical Social Worker | State of Connecticut | 1669 Thomaston Ave, Waterbury, CT 06704-1026 |
Marc D Legris | Internal Medicine | American Current Care Pa | 8 S Commons Rd, Waterbury, CT 06704-1035 |
Jennifer Cole | Nurse Practitioner | American Current Care Pa | 8 S Commons Rd, Waterbury, CT 06704-1035 |
Kim Liuzza | Physician Assistant | American Current Care Pa | 8 S Commons Rd, Waterbury, CT 06704-1035 |
James Zagres | Clinical Social Worker | Family Intervention Center, Inc | 22 Chase River Rd, Waterbury, CT 06704-1408 |
Joseph E Futschik Sr. | Clinical Social Worker | Family Intervention Center, Inc | 22 Chase River Rd, Waterbury, CT 06704-1408 |
Laurie A Duncan | Certified Clinical Nurse Specialist (cns) | Family Intervention Center, Inc | 22 Chase River Rd, Waterbury, CT 06704-1408 |
Leonard W Stern | Psychiatry | Family Intervention Center, Inc | 22 Chase River Rd, Waterbury, CT 06704-1408 |
Find all physicians in zip 06704 |
City | WATERBURY |
Zip Code | 06704 |
Specialty | OPTOMETRY |
City + Specialty | WATERBURY + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.