Provider Demographics
NPI:1629266523
Name:THOMAS P. MCLAUGHLIN
Entity Type:Organization
Organization Name:THOMAS P. MCLAUGHLIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:570-262-2375
Mailing Address - Street 1:68 SHADY TREE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707-1555
Mailing Address - Country:US
Mailing Address - Phone:570-474-2112
Mailing Address - Fax:570-424-8024
Practice Address - Street 1:600 STROUD MALL
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-1156
Practice Address - Country:US
Practice Address - Phone:570-262-2375
Practice Address - Fax:570-424-8024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG-000425152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty