Individual provider · Type 1 NPI

Joseph Bradley Mulligan, LDO

Optician · La Grange, KY

NPI number 1558091173 Active

Practice location

1015 New Moody Ln
La Grange, KY 40031-9142

Fax (502) 222-5274

Mailing address

129 Alton Rd
Shelbyville, KY 40065-1447

Specialties and licenses

TaxonomyCodeLicense
Optician 156FX1800XSLD41354 (CA)
Optician 156FX1800XCLD8386 (CA)
Optician Primary 156FX1800X111891 (KY)

Optician: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

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About NPI 1558091173

Joseph Bradley Mulligan, LDO's National Provider Identifier is 1558091173, issued on Jun 15, 2022. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in La Grange, KY. The record was last updated on Jun 15, 2022.