Mulligan, Shannon M
Mulligan, Shannon M is an individual health care provider with primary practice located at 604 Lakewood Rd , Waterbury CT 06704-2419. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mulligan, Shannon M can be contacted via phone (203) 575-0900.Contact Information
Primary practice address
604 Lakewood Rd
Waterbury CT 06704-2419
Phone: (203) 575-0900
Fax: (203) 573-9894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002345 | Connecticut |
Profile Details
| NPI number | 1528018157 |
|---|---|
| LBN Legal business name | Mulligan, Shannon M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Jul 13th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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