MR. KELLEY JAY LOUTHAN (NPI# 1962657262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962657262 |
| Entity Type | Individual |
| Full Name | MR. KELLEY JAY LOUTHAN |
| Practice Address |
9028 Atlanta Garlinghouse Rd Naples NY 14512-9249 |
| Practice Telephone | 5855345879 |
| Mailing Telephone | 5855345879 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
1939407 | NY | Eye and Vision Services Providers |
| Street Address |
9028 ATLANTA GARLINGHOUSE RD |
| City | NAPLES |
| State | NY |
| Zip Code | 14512-9249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417409434 | Finger Lakes Dental Care, PC Dba Finger Lakes Dental Care of Naples | Dentist | 24 Mills St, Naples, NY 14512 | 2016-10-25 |
| 1679846042 | Catherine Reitz Thayer | Speech-Language Pathologist | 136 North Main Street, Naples Central School District, Naples, NY 14512 | 2012-02-16 |
| 1790054385 | Michelle L Wright | Acupuncturist | 19 Mill Street, Naples, NY 14512 | 2011-12-28 |
| 1083923379 | Gwen Ann Stockdale-fellows | Occupational Therapist | 2 Academy Street, Naples Central School District, Naples, NY 14512 | 2010-10-04 |
| 1124152715 | Wayne S Chanler | Dentist | 106 N. Main Street, Naples, NY 14512 | 2007-03-15 |
| 1134278823 | Colleen Sue Foote | Physician Assistant | 35 Lyon St., Naples, NY 14512 | 2007-01-10 |
| 1518022334 | Naples Central School | Local Education Agency (LEA) | 136 N. Main St., Naples, NY 14512 | 2006-12-22 |
| 1306935408 | Robert P Fardette | Licensed Practical Nurse | 6952 Hackberry Dr, Naples, NY 14512 | 2006-10-12 |
| 1811011653 | Wayne S Chanler, Dmd, PC | Dentist | 106 North Main Street, Naples, NY 14512 | 2007-03-19 |
| 1477893865 | Naples Apothecary Inc | Pharmacy | 129 S Main St, Naples, NY 14512-0000 | 2013-02-21 |
| Find all providers in zip 14512 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255971040 | Citywide Eye Care Optometry Pllc | Optometrist | 107 Middle Neck Rd, Great Neck, NY 11021-1219 | 2020-01-09 |
| 1558899971 | Ilana Gelfond Polnariev Od PC | Optometrist | 4300 Hylan Blvd Ste 1bc, Staten Island, NY 10312-6507 | 2017-05-30 |
| 1588987358 | Toufexis Eye Care, Optometry, P.C. | Optometrist | 3516 Bell Blvd, Suite 202, Bayside, NY 11361-1732 | 2010-03-09 |
| 1922057975 | Amelia G Bartolone | Optometrist | 33 West 42nd St, Suny State College of Optometry, New York, NY 10036 | 2006-05-08 |
| 1326028325 | Christine D Squeri | Optometrist | 1080 5th Ave # 1c, New York, NY 10128 | 2006-01-18 |
| 1619972361 | Ilana Gelfond-polnariev | Optometrist | 4300 Hylan Blvd Ste 1, Staten Island, NY 10312-6505 | 2005-06-18 |
| 1295250587 | Shelby Leach | Optometrist | 33 W 42nd St, New York, NY 10036-8005 | 2017-08-07 |
| 1093196404 | Noelda Karen Fernandes | Optometrist | 33 W 42nd St, New York, NY 10036-8005 | 2015-06-11 |
| 1073953055 | Christine W Chen | Optometrist | 33 W 42nd St, New York, NY 10036-8005 | 2013-07-05 |
| 1013296037 | Danielle Bari Crane | Optometrist | 33 W 42nd St, New York, NY 10036-8005 | 2011-08-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.