Individual
MITCHELL M LOFTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
322 UNION STATION DR, SENECA, SC 29678-4547
(864) 654-6706
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 359-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT03245
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318015401
—
MO
01
—
410029705
RR MEDICARE
MO
Enumeration date
05/04/2006
Last updated
04/23/2026
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