Loomis Optical is a
Ophthalmology based in Greenfield, Wisconsin. Loomis Optical is licensed to practice in * (Not Available) (license number ) and their current practice location is
4300 West Layton Avenue, Ste 100, Greenfield, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(414) 928-2020.
NPI number for Loomis Optical is 1174217178 and their current mailing address is 4300 W. Layton Ave, Ste 100, Greenfield, Wisconsin. Loomis Optical
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1174217178.
Healthcare Provider's Profile
| Full Name | Loomis Optical |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 4300 West Layton Avenue, Greenfield, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174217178
- Provider Enumeration Date: 06/05/2023
- Last Update Date: 03/19/2024
Medical Identifiers
Medical identifiers for Loomis Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174217178 | NPI | - | NPPES |
| 32306500 | Medicaid | WI | |
| 32735700 | Medicaid | WI | |
| 0264580001 | Other | WI | DME |
| 34249800 | Medicaid | WI | |
| 34678800 | Medicaid | WI | |
| 38616200 | Medicaid | WI | |
| 38622400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Loomis Optical is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Loomis Optical
4300 W. Layton Ave, Ste 100,
Greenfield, WI 53220-4136
Ph: (414) 260-0789 | Loomis Optical
4300 West Layton Avenue, Ste 100,
Greenfield, WI 53220-5132
Ph: (414) 928-2020 |
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