Provider Demographics
NPI:1457407835
Name:MCLOUGHLIN, SEAN CHRISTOPHER (OD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:CHRISTOPHER
Last Name:MCLOUGHLIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18 W AVON RD
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001-3583
Mailing Address - Country:US
Mailing Address - Phone:860-675-3937
Mailing Address - Fax:860-673-2555
Practice Address - Street 1:PRECISION EYE INSTITUTE
Practice Address - Street 2:303 N. RIDGEWOOD AVE.
Practice Address - City:EDGEWATER
Practice Address - State:FL
Practice Address - Zip Code:32132
Practice Address - Country:US
Practice Address - Phone:386-424-1422
Practice Address - Fax:386-424-1401
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002645152W00000X
FLOPC5772152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTOTH000Medicare UPIN