Individual
DR. JASON KELSEY MACLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8195 SHERIDAN DR, WILLIAMSVILLE, NY 14221-6002
(716) 631-3860
(716) 276-3467
Mailing address
5942 DONEGAL MNR, CLARENCE CENTER, NY 14032-9506
(716) 480-5425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006542-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000390213003
COMMUNITY BLUE
NY
01
—
161578122
NORTH AMERICAN PREFERRED
NY
01
—
251744484
EMPIRE - UNITED HEALTHCAR
NY
01
—
7290238
INDEPENDENT HEALTH
NY
Enumeration date
06/16/2005
Last updated
08/25/2023
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