MEDICARE: LOYA EYE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1902736127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOYA EYE CARE LLC

Provider Business Mailing Address
First Line	:	335 E WYOMING AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-4432
Country	:	US
Telephone Number	:	267-439-2411
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 E WYOMING AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120-4432
Country	:	US
Telephone Number	:	267-439-2411
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST/OWNER
Name	:	JAYRO ANTONIO LOYA GRIJALVA
Credential	:	OD
Telephone Number	:	267-439-2411

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “LOYA EYE CARE LLC ” Practice Location

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