Provider Demographics
NPI:1124902515
Name:OLOUGHLIN, CAMERON LEIGH (OD)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:LEIGH
Last Name:OLOUGHLIN
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:PO BOX 413
Mailing Address - Street 2:
Mailing Address - City:LINCOLNDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10540-0413
Mailing Address - Country:US
Mailing Address - Phone:914-588-2056
Mailing Address - Fax:
Practice Address - Street 1:600 W PUTNAM AVE LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6080
Practice Address - Country:US
Practice Address - Phone:203-318-6522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011251152W00000X
CT3410152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist