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Organization

ENGLEWOOD OPTOMETRY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN ROBERT LOESCH OD (OWNER/DOCTOR)
(937) 836-6621
Entity
Organization

Contact information

Practice address
621 WOODSIDE DR, ENGLEWOOD, OH 45322-1838
(937) 836-6621
(937) 836-6621
Mailing address
621 WOODSIDE DR, ENGLEWOOD, OH 45322-1838
(937) 836-6621
(937) 836-6621

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3184T545
OH

Other

Enumeration date
10/09/2008
Last updated
04/21/2011
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