Provider Demographics
NPI:1487704110
Name:MCNAUGHTON, LINDA MARIE (OPTICIAN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:MCNAUGHTON
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2300 BUFFALO RD
Mailing Address - Street 2:BLDG 700
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1367
Mailing Address - Country:US
Mailing Address - Phone:585-328-0153
Mailing Address - Fax:585-328-0158
Practice Address - Street 1:485 TITUS AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-3535
Practice Address - Country:US
Practice Address - Phone:585-266-5636
Practice Address - Fax:585-266-5177
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2012-03-22
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1326275892OtherNPI