Kenneth Alan Loftus, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2634ATI Issued in OR

Practice address

450 Siskiyou Blvd
Ste 2
Ashland, OR 97520-5107

Phone

(541) 482-3873

Fax

(541) 482-9115

NPI assigned

Jul 5, 2005

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 OR

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

Pacific University - College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Ashland Eye Care PC

  • Clinic/Center
  • Ashland, OR
  • NPI 1699003152
  Medicare reassignment NPD Authorized official
• Jason Bates OD PC

  • Optometrist
  • Medford, OR
  • NPI 1710179056
  NPD (past)
• Shajida Espat Reich & Associates PC

  • Optometrist
  • Medford, OR
  • NPI 1770693079
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1659378677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SISKIYOU BLVD",
            "address_2": "STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975205107",
            "telephone_number": "541-482-3873",
            "fax_number": "541-482-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SISKIYOU BLVD",
            "address_2": "STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975205107",
            "telephone_number": "541-482-3873",
            "fax_number": "541-482-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTUS",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2634ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298558",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lithia Womens Care PC
• Living in Wellness, Inc.
• Living Water Physical Therapy Incorporated
• Sarah Lockhart, SLP
• Matthew Locklin
• Arlene Elizabeth Logan, LCSW
• Mary Londos
• Laci Elizabeth Lourenzo
• Lark Lovejoy, M.S.
• Nancy A Lowe

• Optometrist in Ashland, OR
• Providers in Ashland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.