Englewood Optometry LLC

NPI #1740431626 in Englewood, Ohio

Provider Information

NPI Number: 1740431626
Entity Type: Organization
Organization Name: Englewood Optometry LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 9, 2008
Last Updated: Apr 21, 2011

Practice Location

Address: 621 WOODSIDE DR
City: Englewood
State: Ohio
ZIP Code: 45322-1838
Phone: (937) 836-6621

Authorized Official

Name: DR. JOHN ROBERT LOESCH, OD
Title: OWNER/DOCTOR
Phone: (937) 836-6621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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