Englewood Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3184T545 Issued in OH

Legal business name

ENGLEWOOD OPTOMETRY LLC

Practice address

621 Woodside Dr
Englewood, OH 45322-1838

Phone

(937) 836-6621

Fax

(937) 836-6621

NPI assigned

Oct 9, 2008

Last updated

Apr 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Robert Loesch, OD

Title

Owner/Doctor

Phone

(937) 836-6621

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1740431626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 WOODSIDE DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221838",
            "telephone_number": "937-836-6621",
            "fax_number": "937-836-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 WOODSIDE DR",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221838",
            "telephone_number": "937-836-6621",
            "fax_number": "937-836-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "LOESCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "937-836-6621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3184T545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Englewood, OH
• Providers in Englewood, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.