JOSEPH BRADLEY MULLIGAN LDO NPI 1558091173

NPI Information

  • NPI: 1558091173
  • Provider Name: JOSEPH BRADLEY MULLIGAN, LDO
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 1015 NEW MOODY LN
    LA GRANGE, KY
    ZIP 40031
  • Phone: (502) 222-5292

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NPI Details

Joseph Bradley Mulligan, LDO is an optician technician technologist in La Grange, KY. The provider is 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. Joseph Bradley Mulligan, LDO NPI is 1558091173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1015 NEW MOODY LN
LA GRANGE, KY
ZIP 40031-142
Phone: (502) 222-5292
Fax: (502) 222-5274

The enumeration date for this NPI number is 6/15/2022 and was last updated on 6/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOpticianSLD41354CALIFORNIANo
2156FX1800XTechnician/TechnologistOpticianCLD8386CALIFORNIANo
3156FX1800XTechnician/TechnologistOptician111891KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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