Individual provider Active NPI

Ron Loflin, O.D.

  • Optometrist
  • Godfrey, IL
National Provider Identifier
1720170921
Registry record updated Apr 22, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(5) exclusion effective Jun 18, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009716 Issued in IL
Practice address
3300 Godfrey Rd
Godfrey, IL 62035-2558
Phone
(618) 466-8787
NPI assigned
Sep 28, 2006
Last updated
Apr 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009716 IL Primary

Addresses

Primary practice location

3300 Godfrey Rd
Godfrey, IL 62035-2558

Mailing address

3300 Godfrey Rd
Godfrey, IL 62035-2558
Phone (618) 466-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
046-009716ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Overland Optical, Inc Past Accepting new patients
Midwest Eye Associates, LLC Optometrist Past Accepting new patients
Overland Optical, Inc. Past Accepting new patients
Rose Optical, Inc. Optometrist PastSince Jan 1, 2005 Accepting new patients
Illini Optometric PC Optometrist PastSince Jun 1, 2011 Accepting new patients
Midwest Eye Associates LLC Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1720170921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 GODFREY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352558",
            "telephone_number": "618-466-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GODFREY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352558",
            "telephone_number": "618-466-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFLIN",
        "first_name": "RON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Godfrey, IL

Sources for this page

Verify at the official NPI Registry.