Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSEPH BRADLEY MULLIGAN, LDO
Active Sole ProprietorJOSEPH BRADLEY MULLIGAN, LDO is a Optician, Dispensing healthcare provider located in LA GRANGE, Kentucky. NPI 1558091173 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · LA GRANGE, KY
Registration Details
- NPI Number
- 1558091173
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2022 (4.1223405794329 yrs)
- Last Updated
- Jun 15, 2022
- Licenses
-
SLD41354 (CA)CLD8386 (CA)111891 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1015 NEW MOODY LNLA GRANGE, KY, 400319142Browse KY providers · Browse ZIP 40031
- Phone
- 5022225292
- Fax
- 5022225274
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
- Additional Specialty
- Optician, Dispensing
Other Optician, Dispensing Providers in LA GRANGE, KY
| Name | Credential | NPI |
|---|---|---|
| DONNA JANE OWENS | — | 1477287498 |
| PAMELA WILSON | — | 1194450122 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.