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DR. ANDREW MULLIGAN O.D.
NPI 1063637437
Optometrist in Port Jefferson Station, NY

Active since April 13, 2007
1092 ROUTE 112, PORT JEFFERSON STATION, NY 11776(631) 474-3937(631) 474-3966 Get Directions Write a Review

NPPES record last updated: May 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew Mulligan O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW MULLIGAN O.D. (NPI 1063637437) is an individual optometrist in Port Jefferson Station, New York, licensed in New York (TUV004441-1) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1063637437
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREW MULLIGANCredential: O.D.
Location Address1092 ROUTE 112Port Jefferson Station, NY 11776-3043
Mailing Address1092 Route 112Port Jefferson Station, NY 11776-3043
Phone(631) 474-3937
Fax(631) 474-3966
Sole ProprietorYes
Enumeration DateApril 13, 2007
Last NPPES UpdateMay 15, 2016
✔ NPI 1063637437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV004441-1
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1092 ROUTE 112, Port Jefferson Station, NY 11776
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPTYX LLC
Eyewear Supplier
1092 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 474-3937
PT JEFF OPTICAL
Technician/Technologist (Optician)
1092 ROUTE 112
PT JEFFERSON STATION, NY 11776
Suffolk County (631) 474-3937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Mulligan's NPI number?

The NPI number for Andrew Mulligan is 1063637437. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Andrew Mulligan located?

Andrew Mulligan practices at 1092 Route 112, Port Jefferson Station, NY 11776. The listed phone number is (631) 474-3937.

What is Andrew Mulligan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Andrew Mulligan was last updated on May 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.