Bouquet Mulligan Eye Professionals Ltd
Eyewear Supplier (Equipment, not the service) in Elizabethtown, PA. Organization (NPI-2).
NPI number1124239124
StatusActive
Last updated in NPPESMar 19, 2021
Details
- NPI
- 1124239124
- Entity type
- Organization (NPI-2)
- Legal business name
- Bouquet Mulligan Eye Professionals Ltd
- Organization subpart
- No
- Enumeration date
- May 24, 2007
- Certification date
- Mar 19, 2021
- Last updated
- Mar 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | oeg000036 | PA | Yes |
Practice location
1676 S Market StElizabethtown, PA 17022-2853
Phone 717-272-0581
Mailing address
1676 S Market StElizabethtown, PA 17022-2853
Phone 717-272-0581
Authorized official
Gregory M Bracale
Admininstrator
7172720581
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Eyewear Supplier providers in Elizabethtown, PA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.