Jonathan K. Loo OD, a Professional Corp.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPT5901TPA Issued in CA

Legal business name

JONATHAN K. LOO OD, A PROFESSIONAL CORP.

Practice address

1111 W Robinhood Dr
Suite L
Stockton, CA 95207-5626

Phone

(209) 952-0821

Fax

(209) 952-0825

NPI assigned

Jan 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan K Loo, O.D.

Title

Optometrist

Phone

(209) 952-0821

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jonathan K. Loo, O.D. Other name

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1851621312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W ROBINHOOD DR",
            "address_2": "SUITE L",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075626",
            "telephone_number": "209-952-0821",
            "fax_number": "209-952-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W ROBINHOOD DR",
            "address_2": "SUITE L",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075626",
            "telephone_number": "209-952-0821",
            "fax_number": "209-952-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN K. LOO OD, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "LOO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "209-952-0821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "OPT5901TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0059010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan K. Loo, O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Staci Johnson
• Starlynne A Johnson
• Steven F Johnson
• Tamara Johnson, MSW
• Tiana Allea Johnson
• Michelle M. Jondreau, MD
• April Michelle Jones-Brice
• Aisha Chantel' Jones
• Alissa Nicole Jones
• Andru Corey Jones

• Corneal and Contact Management Optometrist in Stockton, CA
• Providers in Stockton, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.