Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLEY JAY LOUTHAN
Active Sole ProprietorMR. KELLEY JAY LOUTHAN is a Pediatric Optometrist healthcare provider located in NAPLES, New York. NPI 1962657262 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · NAPLES, NY
Registration Details
- NPI Number
- 1962657262
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2008 (17.717816384075 yrs)
- Last Updated
- Dec 1, 2008
- License
-
1939407 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9028 ATLANTA GARLINGHOUSE RDNAPLES, NY, 145129249Browse NY providers · Browse ZIP 14512
- Phone
- 5855345879
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.