| NPI | 1174217178 |
|---|---|
| Doing Business As | LOOMIS OPTICAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES B YANG Medical Director 414-928-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-03-19 |