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Andrew Mulligan, O.D.
NPI 1063637437 · Optometrist · Port Jefferson Station, NY
Andrew Mulligan, O.D. is a Optometrist provider in Port Jefferson Station, NY (NPI 1063637437).
Provider details
- NPI number
- 1063637437
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- TUV004441-1 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1092 Route 112
Port Jefferson Station, NY 11776-3043
Phone: (631) 474-3937
Fax: (631) 474-3966
Street-level locationGet directions
Mailing address
1092 Route 112
Port Jefferson Station, NY 11776-3043
Registry dates
- Enumerated
- 2007-04-13
- Last updated
- 2016-05-15
Frequently asked questions
- What is Andrew Mulligan's NPI number?
- Andrew Mulligan's National Provider Identifier (NPI) is 1063637437, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Mulligan's specialty?
- Andrew Mulligan is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Andrew Mulligan located?
- Andrew Mulligan's practice location on file with NPPES is 1092 Route 112, Port Jefferson Station, NY 11776-3043.
- What is Andrew Mulligan's phone number?
- The practice phone number listed in the NPPES registry for Andrew Mulligan is (631) 474-3937.
- Is Andrew Mulligan's NPI active?
- Yes — Andrew Mulligan's NPI (1063637437) is active in the NPPES registry as of the last update on 2016-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.