Individual provider Active NPI

Cameron Leigh Oloughlin, OD

  • Optometrist
  • Greenwich, CT
National Provider Identifier
1124902515
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3410 Issued in CT
Practice address
600 W Putnam Ave Lowr Level
Greenwich, CT 06830-6080
Phone
(203) 318-6522
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011251 NY
Optometrist 152W00000X 3410 CT Primary

Addresses

Primary practice location

600 W Putnam Ave Lowr Level
Greenwich, CT 06830-6080

Mailing address

PO Box 413
Lincolndale, NY 10540-0413
Phone (914) 588-2056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250925000010 CT Practitioner - Optometry 7618472242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Eye Surgeons LLCGroup PAC ID 2264787688, 3 clinicians

Practice addresses (Care Compare)

600 W Putnam Ave
Lowr Level
Greenwich, CT 06830-6080
Phone (203) 900-7911

600 W Putnam Ave Lowr Level
Greenwich, CT 06830-6080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011251NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Surgeons LLC CurrentSince Aug 4, 2025 Accepting new patients

Locations

600 W Putnam Ave
Lowr Lvl
Greenwich, CT 06830

600 W Putnam Ave
Lowr
Greenwich, CT 06830
Phone (203) 900-4011

600 W Putnam Ave
Greenwich, CT 06830
Phone (203) 810-4151

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1124902515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "LINCOLNDALE",
            "state": "NY",
            "postal_code": "105400413",
            "telephone_number": "914-588-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W PUTNAM AVE LOWR LEVEL",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306080",
            "telephone_number": "203-318-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOUGHLIN",
        "first_name": "CAMERON",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011251",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.