National Provider Identifier Database

BOUQUET MULLIGAN EYE PROFESSIONALS LTD
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

BOUQUET MULLIGAN EYE PROFESSIONALS LTD
1676 S MARKET ST
ELIZABETHTOWN, PA17022-2853
Phone: 717-272-0581
Fax:
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for BOUQUET MULLIGAN EYE PROFESSIONALS LTD

NPI Number 1124239124
Legal business name
LBN
BOUQUET MULLIGAN EYE PROFESSIONALS LTD
Authorized official GREGORY BRACALE - (ADMININSTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/24/2007
Last updated 03/19/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: OEG000036

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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