National Provider Identifier
Jacquelyn M Dougherty, OD
Jacquelyn M Dougherty, OD is listed in the NPPES registry with a primary specialty of Optometrist in Williamsville, NY and a listed phone number of (716) 634-4441.
Profile Overview
- NPI
- 1164641130
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- April 25, 2007
- Last Updated
- November 05, 2012
Practice Location
- 40 N Union RD
- Williamsville, NY 14221-5339
Phone: (716) 634-4441
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1164641130
- Entity Type
- Individual
- Last Name
- Dougherty
- First Name
- Jacquelyn
- Middle Name
- M
- Credential
- OD
- Mailing Street Address
- 40 N Union RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5339
- Mailing Country
- US
- Mailing Phone
- (716) 634-4441
- Mailing Fax
- (716) 634-3174
- Practice Street Address
- 40 N Union RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5339
- Practice Country
- US
- Practice Phone
- (716) 634-4441
- Practice Fax
- (716) 634-3174
- Enumeration Date
- April 25, 2007
- Last Updated
- November 05, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)