Eugene J. McDonough, O.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

VUT003569 Issued in NY

Practice address

811 Maple Rd
Williamsville, NY 14221-3260

Phone

(716) 648-5329

Fax

(716) 648-3185

NPI assigned

May 31, 2005

Last updated

Nov 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• University Optical Corp

  • Durable Medical Equipment & Medical Supplies
  • Batavia, NY
  • NPI 1992891196
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1144223439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213260",
            "telephone_number": "716-648-5329",
            "fax_number": "716-648-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213260",
            "telephone_number": "716-648-5329",
            "fax_number": "716-648-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "EUGENE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "VUT003569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00693114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley McCormick
• Carrie Ann McCoy
• Mahalia McCrayer, R.N.
• Amy Elizabeth McDermott, MS OTR L
• Sarah McDonnell, MB BCH BAO
• Patrick McDonough, LPN
• Theresa Anne McDonough, NURSE PRACTITIONER
• Shannon McDougald
• Lucas McDowell, PT, DPT
• Candelaria McElhinny, RPA-C

• Specialist in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.