Individual provider Active NPI

Dorothy Rose Mulligan, OD

  • Optometrist
  • West Hartford, CT
National Provider Identifier
1508615758
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3.003347 Issued in CT
Practice address
1013 Farmington Ave
West Hartford, CT 06107-2181
Phone
(860) 233-2020
NPI assigned
May 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3.003347 CT Primary

Addresses

Primary practice location

1013 Farmington Ave
West Hartford, CT 06107-2181

Mailing address

22 Northfield Rd
Enfield, CT 06082-4240
Phone (860) 539-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821002417 CT Practitioner - Optometry 6204374259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solinsky Eyecare LLCGroup PAC ID 0446146369, 17 clinicians

Practice addresses (Care Compare)

1013 Farmington Ave
West Hartford, CT 06107-2181
Phone (860) 233-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3.003347CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Solinsky Eyecare LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Solinsky Eyecare LLC Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
Solinsky Eyecare LLC Optometrist Past Accepting new patients

Locations

30 W Avon Rd
Avon, CT 06001
Phone (860) 673-2581

800 Connecticut Blvd
Ste 300
East Hartford, CT 06108
Phone (860) 528-9645

139 Hazard Ave
Ste 6
Enfield, CT 06082
Phone (860) 218-3614

300 Winding Brook Dr
Ste 1
Glastonbury, CT 06033
Phone (860) 236-9000

19 Woodland St
Ste 41
Hartford, CT 06105
Phone (860) 249-2020

323 Franklin Ave
Hartford, CT 06114
Phone (860) 296-6826

505 Willard Ave
Ste 2B
Newington, CT 06111
Phone (860) 667-0207

70 Meriden Ave
Southington, CT 06489
Phone (860) 621-6757

281 Hartford Tpke
Ste 306
Vernon Rockville, CT 06066
Phone (860) 454-8621

85 Barnes Rd
Ste 102
Wallingford, CT 06492
Phone (203) 284-9448

433 S Main St
Ste 103
West Hartford, CT 06110
Phone (860) 236-9004

1013 Farmington Ave
West Htfd, CT 06107
Phone (860) 236-9000

1120B Main St
Willimantic, CT 06226

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1508615758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NORTHFIELD RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824240",
            "telephone_number": "860-539-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072181",
            "telephone_number": "860-233-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "DOROTHY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3.003347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.