Individual
DR. JEREMY E LOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1101 W ROSEDALE ST, SUITE A, FORT WORTH, TX 76104-4425
(817) 885-7951
(817) 885-7953
Mailing address
1101 W ROSEDALE ST, SUITE A, FORT WORTH, TX 76104-4425
(817) 885-7951
(817) 885-7953
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6992TG
TX
152WC0802X
Corneal and Contact Management Optometrist
6992TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
6992TG
TX
152WP0200X
Pediatric Optometrist
6992TG
TX
152WS0006X
Sports Vision Optometrist
6992TG
TX
152WV0400X
Vision Therapy Optometrist
6992TG
TX
152WX0102X
Occupational Vision Optometrist
6992TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009795
—
IL
Enumeration date
08/30/2005
Last updated
08/20/2019
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