Individual
DR. JOHN T LOVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
840 W BOUNDARY ST, PERRYSBURG, OH 43551-1702
(419) 931-2020
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5560
OH
152WC0802X
Corneal and Contact Management Optometrist
5560
OH
152WP0200X
Pediatric Optometrist
5560
OH
152WX0102X
Occupational Vision Optometrist
5560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04995
PARAMOUNT
MI
01
—
2669670
MEDICAID
OH
01
—
90-0-F3-3651-0
BLUE CROSS BLUE SHIELD
MI
01
—
944990749
MEDICAID
MI
01
—
P00373584
RAILROAD MEDICARE
OH
Enumeration date
03/17/2006
Last updated
08/28/2024
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