Organization
JOHN R LOESCH OD
Active
Parent organization
JOHN R LOESCH OD
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN R LOESCH OD
Authorized official
MR. JOHN R LOESCH OD (OWNER)
(937) 278-5689
Entity
Organization
Contact information
Practice address
3721 N MAIN ST, DAYTON, OH 45405
(937) 278-5689
(937) 278-6781
Mailing address
3721 N MAIN ST, DAYTON, OH 45405
(937) 278-5689
(937) 278-6781
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3184T545
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0332689
—
OH
Enumeration date
04/17/2008
Last updated
04/17/2008
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