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John R Loesch Od

John R Loesch Od is a health care provider in Dayton, OH. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 3721 N Main St, Dayton, OH 45405, US
Practice Location Phone937-278-5689
Practice Location Fax937-278-6781
Legal Business NameJOHN R LOESCH OD
NPI ?1710151071
Entity TypeOrganization
Enumeration Date ? Apr 17, 2008
Last Update Date ? Apr 17, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of John R Loesch Od

SpecialtySpecializationLicenseLicense State
Optometrist 3184T545Ohio

legacy-id-icon Legacy Provider IDs of John R Loesch Od

Provider IdIssuer StateIssuer TypeIssuer
0332689OhioMedicaid

official-icon Authorized Official of John R Loesch Od

An authorized official is an appointed official with the legal authority to make changes and/or updates to the John R Loesch Od's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. John R Loesch (OD)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number937-278-5689