Individual
MARY ELLEN LOUGHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
40 N UNION RD, NISWANDER EYE CENTER, WILLIAMSVILLE, NY 14221-5339
(716) 634-4441
(716) 634-3174
Mailing address
40 N UNION RD, WILLIAMSVILLE, NY 14221-5339
(716) 634-4441
(716) 634-3174
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005781-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01976567
—
NY
Enumeration date
07/12/2005
Last updated
03/07/2022
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