Shannon M Mulligan in Waterbury - Optometrist
Shannon M Mulligan - NPI 1528018157
Shannon M Mulligan is a Optometrist in Waterbury, Connecticut. Shannon M Mulligan practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Shannon M Mulligan is 1528018157. The last update date is 2007-07-08.
Shannon M Mulligan's current location address is 604 Lakewood Rd, Waterbury, Connecticut. You can contact this provider via phone number 2035750900 and fax number 2035739894. The mailing address for Shannon M Mulligan is 604 Lakewood Rd, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon M Mulligan |
|---|---|
| Address | 604 Lakewood Rd, Waterbury, Connecticut |
| Phone Number | 2035750900 |
| Fax Number | 2035739894 |
| Sole Proprietor | X |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1528018157 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 604 Lakewood Rd |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 670424190 |
| Phone Number | 2035750900 |
| Fax Number | 2035739894 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2345 |
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Definition: 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 |
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What is the unique 10-digit identifier code issued to Shannon M Mulligan by the Centers for Medicare & Medicaid Services?
The Shannon M Mulligan has been assigned the NPI (National Provider Identifier) 1528018157 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Shannon M Mulligan located?
The Shannon M Mulligan is located at 604 Lakewood Rd, Waterbury, CT 670424190.
What is Shannon M Mulligan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon M Mulligan's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Shannon M Mulligan receive its 1528018157 assignment from the Centers for Medicare & Medicaid Services?
The Shannon M Mulligan was assigned its 1528018157 by the Centers for Medicare & Medicaid Services on 2006-05-12.
When was the information regarding Shannon M Mulligan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shannon M Mulligan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.