| 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 | 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 | David S. Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821176959 PECOS PAC ID: 7416009766 Enrollment ID: I20100816000408 |
| 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 |