Individual provider Active NPI

Jason Kelsey Maclaughlin, OD

  • Optometrist
  • Williamsville, NY
National Provider Identifier
1235134313
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006542-1 Issued in NY
Practice address
8195 Sheridan Dr
Williamsville, NY 14221-6002
Phone
(716) 631-3860
Fax
(716) 276-3467
NPI assigned
Jun 16, 2005
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006542-1 NY Primary

Addresses

Primary practice location

8195 Sheridan Dr
Williamsville, NY 14221-6002

Mailing address

5942 Donegal MNR
Clarence Center, NY 14032-9506
Phone (716) 480-5425

Other practice location 1

323 Main St
East Aurora, NY 14052-1636
Phone (716) 655-5280

Other identifiers 8

IdentifierTypeStateIssuer
161578122OtherNYNORTH AMERICAN PREFERRED
7290238OtherNYINDEPENDENT HEALTH
161578122OtherNYEMPIRE - UNITED HEALTHCAR
161578122OtherNYNOVA
251744484OtherNYEMPIRE - UNITED HEALTHCAR
251744484OtherNYNORTH AMERICAN PREFERRED
251744484OtherNYNOVA
000390213003OtherNYCOMMUNITY BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101206000334 NY Practitioner - Optometry 8820285786 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Buffalo Eye Optometry PLLCGroup PAC ID 4082006416, 4 clinicians
Eye Mac Optometrists PCGroup PAC ID 4284802547, 4 clinicians

Practice addresses (Care Compare)

323 Main St
East Aurora, NY 14052-1636
Phone (716) 655-3225

8195 Sheridan Dr
Williamsville, NY 14221-6002
Phone (716) 631-3860

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
TUV006542-1NYMDOptometrist
006542NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Eye Optometry PLLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Council Opticians of East Aurora CurrentSince Feb 1, 2022 Accepting new patients
Eye Mac Optometrists PC CurrentSince Dec 28, 2025 Accepting new patients

Locations

323 Main St
East Aurora, NY 14052
Phone (716) 652-4300

445 Market St
Lockport, NY 14094
Phone (716) 433-1844

7600 3rd Ave
Niagara Falls, NY 14304
Phone (716) 298-8182

8195 Sheridan Dr
Williamsville, NY 14221
Phone (716) 480-5425

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1235134313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5942 DONEGAL MNR",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329506",
            "telephone_number": "716-480-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8195 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216002",
            "telephone_number": "716-631-3860",
            "fax_number": "716-276-3467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 Main St",
            "address_purpose": "LOCATION",
            "city": "East Aurora",
            "state": "NY",
            "postal_code": "140521636",
            "country_code": "US",
            "telephone_number": "716-655-5280",
            "fax_number": "716-655-3225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACLAUGHLIN",
        "first_name": "JASON",
        "middle_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006542-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "7290238",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE - UNITED HEALTHCAR",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE - UNITED HEALTHCAR",
            "identifier": "251744484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "251744484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "251744484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000390213003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.