Active NPI
Losh Optometry LLC
- Optometrist
- Maryville, MO
National Provider Identifier
1487056560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- LC1394389
- Legal business name
- LOSH OPTOMETRY LLC
- Practice address
- 109 S Buchanan St
Maryville, MO 64468-2384 - Phone
- (660) 241-5001
- Fax
- (660) 241-5004
- NPI assigned
- Sep 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ryan K Losh, O.D.
- Title
- Member/Manager
- Phone
- (660) 241-5001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | LC1394389 | MO | Primary |
Addresses
Primary practice location
109 S Buchanan St
Maryville, MO 64468-2384
Mailing address
109 S Buchanan St
Maryville, MO 64468-2384
Phone (660) 241-5001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
109 S Buchanan St
Maryville, MO 64468
Phone (660) 241-5001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Maryville, MO
- NPI 1821309600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422403200000",
"number": "1487056560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 S BUCHANAN ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644682384",
"telephone_number": "660-241-5001",
"fax_number": "660-241-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S BUCHANAN ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644682384",
"telephone_number": "660-241-5001",
"fax_number": "660-241-5004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOSH OPTOMETRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-21",
"last_updated": "2015-01-28",
"status": "A",
"authorized_official_last_name": "LOSH",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MEMBER/MANAGER",
"authorized_official_telephone_number": "660-241-5001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "LC1394389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.