# JENNIFER LOAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942379540
- **Gender:** F
- **Credential:** OD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OP0003138 | FL | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 06/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20862 | BLUE CROSS | FL |
| 01 | — | 410049883 | RR MEDICARE | FL |