ENGLEWOOD OPTOMETRY LLC NPI 1740431626

NPI Information

  • NPI: 1740431626
  • Provider Name: ENGLEWOOD OPTOMETRY LLC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • CLIA Number: 36D2148446
  • Address: 621 WOODSIDE DR
    ENGLEWOOD, OH
    ZIP 45322
  • Phone: (937) 836-6621

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NPI Details

ENGLEWOOD OPTOMETRY LLC is an optometrist in Englewood, OH. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. ENGLEWOOD OPTOMETRY LLC NPI is 1740431626. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 WOODSIDE DR
ENGLEWOOD, OH
ZIP 45322-838
Phone: (937) 836-6621
Fax: (937) 836-6621

The provider's authorized official is John Robert Loesch .
The authorized official title is Owner/doctor and has the following contact phone number (937) 836-6621.

The CLIA number assigned to this NPI record is 36D2148446 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2008 and was last updated on 4/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist3184T545OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16220680001MEDICARE NSCOHIO
20445281MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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