DR. DOROTHY ROSE MULLIGAN (OD) – Optometrist, NPI 1508615758

DR. DOROTHY ROSE MULLIGAN (OD) is a healthcare provider. based in Enfield, Connecticut. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3.003347 (CT). The NPI Number for DR. DOROTHY ROSE MULLIGAN (OD) is 1508615758

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOROTHY ROSE MULLIGAN (OD)
NPI
1508615758
Phone
(860) 539-2828
Address
22 NORTHFIELD RD
Enumeration Date
17 May 2024
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602332020
Graduation Year
2024 (2 years ago)
PAC ID
6204374259
Group Practice PAC ID
0446146369
Professional Enrollment ID
I20240821002417
Address ID
CT061072181WE1013XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

530 OPTOMETRY in CT

Provider Addresses for DR. DOROTHY ROSE MULLIGAN (OD)

  • 22 NORTHFIELD RD

    ENFIELD, CT 060824240

    Phone: (860) 539-2828

    Type: Mailing

  • 1013 FARMINGTON AVE

    WEST HARTFORD, CT 061072181

    Phone: (860) 233-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $626.

Total Amount is formed as General ($626) + Research ($0) + Ownership ($0) = $626.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($193).

Total Amount

$626

General + Research + Ownership

Payments

16

Total payment records

General Amount

$626

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240821002417IOptometryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06082)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446146369View full group profile
NameSpecialtyState
O P T O M E T R YCT
-CT
O P H T H A L M O L O G YCT
O P T O M E T R YCT
O P H T H A L M O L O G YCT
O P T O M E T R YCT
O P T O M E T R YCT
O P T O M E T R YMD
O P T O M E T R YMD
O P T O M E T R YCT

Reviews

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Frequently asked questions

Can I use this page to confirm DR. DOROTHY ROSE MULLIGAN (OD)'s NPI?
Yes. DR. DOROTHY ROSE MULLIGAN (OD) is listed with NPI 1508615758 in the public NPI dataset.
Does CMS list DR. DOROTHY ROSE MULLIGAN (OD) as active?
Yes — DR. DOROTHY ROSE MULLIGAN (OD) is active in the NPI listing used on this page.
What healthcare role does DR. DOROTHY ROSE MULLIGAN (OD) hold?
Scheduling teams often label DR. DOROTHY ROSE MULLIGAN (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Where is DR. DOROTHY ROSE MULLIGAN (OD) based?
DR. DOROTHY ROSE MULLIGAN (OD) is tied to Enfield, Connecticut in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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