Mcdonough, Eugene J.

Mcdonough, Eugene J. is an individual health care provider with primary practice located at 811 Maple Rd , Williamsville NY 14221-3260. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcdonough, Eugene J. can be contacted via phone (716) 648-5329.

Contact Information

Primary practice address
811 Maple Rd Williamsville NY 14221-3260
Phone: (716) 648-5329
Fax: (716) 648-3185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X VUT003569 New York

Profile Details

NPI number 1144223439
LBN Legal business name Mcdonough, Eugene J.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Nov 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144223439 NPPES
New York MEDICAID 00693114

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