National Provider Identifier

Kelley Jay Louthan

Kelley Jay Louthan is listed in the NPPES registry with a primary specialty of Pediatric Optometrist in Naples, NY and a listed phone number of (585) 534-5879.

NPI 1962657262Naples, NYPediatric Optometrist

Profile Overview

NPI
1962657262
Provider Type
Individual
Primary Specialty
Pediatric Optometrist
Enumeration Date
December 01, 2008
Last Updated
December 01, 2008

Practice Location

  • 9028 Atlanta Garlinghouse RD
  • Naples, NY 14512-9249

Phone: (585) 534-5879

Specialties

  • Pediatric Optometrist (152WP0200X)
Full Record
NPI
1962657262
Entity Type
Individual
Last Name
Louthan
First Name
Kelley
Middle Name
Jay
Name Prefix
Mr.
Mailing Street Address
9028 Atlanta Garlinghouse RD
Mailing City
Naples
Mailing State
NY
Mailing ZIP Code
14512-9249
Mailing Country
US
Mailing Phone
(585) 534-5879
Practice Street Address
9028 Atlanta Garlinghouse RD
Practice City
Naples
Practice State
NY
Practice ZIP Code
14512-9249
Practice Country
US
Practice Phone
(585) 534-5879
Enumeration Date
December 01, 2008
Last Updated
December 01, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Optometrist (152WP0200X)