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NPI 1811966179

NPI 1811966179 : JOHN T LOVAS O.D. : PERRYSBURG, OH

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General NPI Number Information
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    NPI Number           |    1811966179
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN T LOVAS O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/17/2006
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    Last Update Date     |    08/28/2024
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Provider Practice Location Address
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    Address Line         |    840 W BOUNDARY ST 
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    City                 |    PERRYSBURG
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    State                |    OH
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    Zip                  |    43551-1702
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    Country              |    US
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    Telephone            |    419-931-2020
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8614 WESTWOOD CENTER DR FL 9 
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    City                 |    VIENNA
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    State                |    VA
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    Zip                  |    22182-2442
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    Country              |    US
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    Telephone            |    703-847-8899
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152WX0102X
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    Taxonomy Name        |    Occupational Vision Optometrist
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    License Number       |    5560
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    5560
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    5560
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    License Number State |    OH
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Taxonomy #4
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    Taxonomy Code        |    152WP0200X
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    Taxonomy Name        |    Pediatric Optometrist
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    License Number       |    5560
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    License Number State |    OH
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