Bouquet Mulligan Demaio Eye Professionals P.c. | |
233 W Penn Ave, Cleona, PA 17042-3230 | |
(717) 272-0581 | |
(717) 274-5889 |
Full Name | Bouquet Mulligan Demaio Eye Professionals P.c. |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 233 W Penn Ave, Cleona, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568493351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OEG000036 (Pennsylvania) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Robert Karl Hoglund |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598745879 PECOS PAC ID: 3779518519 Enrollment ID: I20050930000155 |
Provider Name | Andrea T Govelovich |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1538111620 PECOS PAC ID: 1456378611 Enrollment ID: I20051027000101 |
Provider Name | Beth A Walmer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932259777 PECOS PAC ID: 6901811413 Enrollment ID: I20060220000268 |
Provider Name | Beth A Berlin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609055334 PECOS PAC ID: 7214004795 Enrollment ID: I20080925000116 |
Provider Name | Raymond Demaio |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457357790 PECOS PAC ID: 2860425584 Enrollment ID: I20110526000541 |
Provider Name | Brian Johnson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770063687 PECOS PAC ID: 0547511909 Enrollment ID: I20180924002280 |
Mailing Address | Practice Location Address |
---|---|
Bouquet Mulligan Demaio Eye Professionals P.c. 233 W Penn Ave, Cleona, PA 17042-3230 Ph: (717) 272-0581 | Bouquet Mulligan Demaio Eye Professionals P.c. 233 W Penn Ave, Cleona, PA 17042-3230 Ph: (717) 272-0581 |