Provider Demographics
NPI:1639564180
Name:MCLAUGHLIN, REBECCA (OD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2438
Mailing Address - Country:US
Mailing Address - Phone:508-832-9392
Mailing Address - Fax:
Practice Address - Street 1:48 AUBURN ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2438
Practice Address - Country:US
Practice Address - Phone:508-832-9392
Practice Address - Fax:508-832-2497
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 5186152W00000X
PAOEG003126152W00000X
390200000X
MA5198152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program