Mikel W Lo MD, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25801 Issued in AZ

Legal business name

MIKEL W LO MD, INC

Practice address

5940 N. la Cholla Blvd
Tucson, AZ 85741

Phone

(520) 877-2725

Fax

(520) 547-0220

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mikel W Lo, MD

Title

Direct Owner

Phone

(520) 877-2725

Specialties & licenses 1

Addresses

Other names 1

• About Faces Cosmetic Surgery Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1124158555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 N. LA CHOLLA BLVD.",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "520-877-2725",
            "fax_number": "520-547-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 N. LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "520-877-2725",
            "fax_number": "520-547-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKEL W LO MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "520-877-2725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "25801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "About Faces Cosmetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornel Mihalache, MD
• Brandon Mihalich, DDS, MD
• Brian Mihalka, PHARM D
• Mike Noonan Physical Therapy, LLC
• Mike Wu OD, PC
• Carol D Mikel, LMT
• Sherri Mikels-Romero, MSW, LCSW
• Dalia Mikhael, M.D.
• Amanda Mikhail, PHARMD
• Natalie F Mikiska

• Ophthalmology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.