Troy D Loomis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2691 Issued in MN

Practice address

6099 Wayzata Blvd Ste 120
Minneapolis, MN 55416-5538

Phone

(952) 204-5060

Fax

(952) 204-9060

NPI assigned

Mar 24, 2006

Last updated

Jun 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ovo Lasik and Lens LLCGroup PAC ID 8921497751, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ovo Lasik and Lens LLC

  • Ophthalmology Physician
  • St Louis Park, MN
  • NPI 1770259087
  Medicare reassignment Care Compare group NPD
• Don Sealock, O.D., P.a.

  dba Four Seasons Eyecare

  • Optometrist
  • Plymouth, MN
  • NPI 1497785620
  NPD (past)
• Don Sealock, O.D., P.a.

  dba Four Seasons Eyecare - Maple Grove

  • Eyewear Supplier
  • Maple Grove, MN
  • NPI 1538624341
  NPD (past)
• Hometown Eye Care, Inc

  • Optometrist
  • Big Lake, MN
  • NPI 1841221785
  NPD (past)
• The Total Vision Institute LLC

  • Ophthalmologic Surgery Clinic/Center
  • St Louis Park, MN
  • NPI 1043760119
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1568422301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "952-204-5060",
            "fax_number": "952-204-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 WAYZATA BLVD STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165538",
            "telephone_number": "952-204-5060",
            "fax_number": "952-204-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "TROY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447819300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Loo
• Julyna Lawlaw Loo
• Christina Marie Looby, DO, MS
• Wendy Sue Looman, PHD, RN, CPNP
• Ashley Renee Loomis, MD
• Loon Lake EMS, LLC
• Loon State Physical Therapy
• Loop Dental PLLC
• Brianna Marie Loop, MSW
• Krista J Loop, CFNP

• Optometrist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.