Individual
STEPHEN PAUL LOUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9238 WOODSTONE ST, LENEXA, KS 66219-1958
(913) 495-9999
(913) 307-0535
Mailing address
9238 WOODSTONE ST, LENEXA, KS 66219-1958
(913) 495-9999
(913) 307-0535
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1311
KS
152W00000X
Optometrist
Primary
T02949
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100219730B
—
KS
01
—
PO1389873
MCR RR
—
Enumeration date
07/19/2006
Last updated
04/13/2015
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