Loftin Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03245 Issued in MO

Legal business name

LOFTIN EYECARE, LLC

Practice address

724 West Stadium Boulevard
# 029 Walmart Vision Center
Jefferson City, MO 65109

Phone

(573) 635-9024

Fax

(573) 635-9031

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Mitchell M Loftin, OD

Title

Optometrist/ Owner

Phone

(573) 881-7176

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1942510334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104795",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651104795",
            "telephone_number": "573-881-7176",
            "fax_number": "573-635-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 WEST STADIUM BOULEVARD",
            "address_2": "# 029 WALMART VISION CENTER",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65109",
            "telephone_number": "573-635-9024",
            "fax_number": "573-635-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOFTIN EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "LOFTIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "573-881-7176",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Lippmann
• Joshua Nathaniel Little, ATC, LAT
• Karly Lloyd
• Katie Lock
• Colleen Teresa Loehr, M.D.
• Amy Lohraff, LPC
• Eileen Long, LCSW
• Robert Joseph Lootens Jr., FNAO
• Kimberly R Lorentz, ANP
• Aimee Michelle Lorenz, MD

• Optometrist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.