Angela Loeb, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

60164642 Issued in WA

Legal business name

ANGELA LOEB, OD, PLLC

Practice address

625 Black Lake Blvd SW
Suite 369
Olympia, WA 98502-5066

Phone

(360) 753-4533

NPI assigned

Dec 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Angela Loeb, OD

Title

Optometrist

Phone

(812) 606-1442

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1780987313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BLACK LAKE BLVD SW",
            "address_2": "SUITE 369",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025066",
            "telephone_number": "360-753-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BLACK LAKE BLVD SW",
            "address_2": "SUITE 369",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025066",
            "telephone_number": "360-753-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA LOEB, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "LOEB",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "812-606-1442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60164642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M. Vancleave, DDS, PLLC (Olympia Pediatric Dentistry)
• Andrea Camille Andrews, PHARMD
• Frances C Andriacchi, MD
• Breanne Andringa
• Marissa E Ang, ATC
• Angels Grace Afh
• Geoffrey A Ankeney, M.D.
• Bailee Ankrom
• Ari Anthony, D.C.
• Suzanne Schwindt Anthony, OTR/L

• Optometrist in Olympia, WA
• Providers in Olympia, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.