Healthcare Provider Details

I. General information

NPI: 1730005489
Provider Name (Legal Business Name): JOSHUA JOSEPH LIGUS OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 CHAMPION DR STE 100
HAGERSTOWN MD
21740-6665
US

IV. Provider business mailing address

2700 TURKEY FARM RD
NORTH HUNTINGDON PA
15642-3088
US

V. Phone/Fax

Practice location:
  • Phone: 301-791-0888
  • Fax: 301-791-3611
Mailing address:
  • Phone: 724-708-1673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTA3152
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: