Organization
LOFTIN EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL M LOFTIN OD (OPTOMETRIST/ OWNER)
(573) 881-7176
Entity
Organization
Contact information
Practice address
724 WEST STADIUM BOULEVARD, # 029 WALMART VISION CENTER, JEFFERSON CITY, MO 65109
(573) 635-9024
(573) 635-9031
Mailing address
PO BOX 104795, JEFFERSON CITY, MO 65110-4795
(573) 881-7176
(573) 635-9024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03245
MO
Other
Enumeration date
10/19/2010
Last updated
12/12/2019
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