Jacquelyn M Dougherty, OD

NPI #1164641130 in Williamsville, New York

Provider Information

NPI Number: 1164641130
Entity Type: Individual
Name: Jacquelyn M Dougherty, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 25, 2007
Last Updated: Nov 5, 2012

Practice Location

Address: 40 N UNION RD
City: Williamsville
State: New York
ZIP Code: 14221-5339
Phone: (716) 634-4441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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