MEDICARE: JONATHAN K LOO

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	5901T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285652776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN K LOO

Provider Business Mailing Address
First Line	:	3133 W MARCH LN
Second Line	:	STE 2020
City	:	STOCKTON
State	:	CA
Zip	:	95219-2361
Country	:	US
Telephone Number	:	209-951-0820
Fax Number	:	209-951-2348

Provider Business Practice Location Address
First Line	:	3133 W MARCH LN
Second Line	:	STE 2020
City	:	STOCKTON
State	:	CA
Zip	:	95219-2361
Country	:	US
Telephone Number	:	209-951-0820
Fax Number	:	209-951-2348

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	05/20/2016

Similar Medicare Providers

1841293669 — DR. LESTER H LOW DDS
Practice Location Address:

3133 W MARCH LN , STE 1090
STOCKTON, CA
95219-2361

Practice Phone: 209-474-3333
Practice Fax:

1376515130 — DR. YOLANDA MARIE SCHEER OD
Practice Location Address:

3133 W MARCH LN , SUITE 2020
STOCKTON, CA
95219-2361

Practice Phone: 209-951-0820
Practice Fax: 209-951-2348

1104883149 — JOHN KIYOSHI FUJII O.D.
Practice Location Address:

3133 W MARCH LN , SUITE 2020
STOCKTON, CA
95219-2361

Practice Phone: 209-951-0820
Practice Fax: 209-951-2348

1366556870 — ROSEMARY MELROSE O.D.
Practice Location Address:

3133 W MARCH LN , STE. 2020
STOCKTON, CA
95219-2361

Practice Phone: 209-951-0820
Practice Fax: 209-951-2348

1841318540 — CRAIG K HISAKA OD MPH PROFESSIONAL OPTOMETRIC CORP
Practice Location Address:

3133 W MARCH LN STE 2020
STOCKTON, CA
95219-2361

Practice Phone: 209-951-0820
Practice Fax:

1417075144 — MELROSE & MELROSE OPTOMETRISTS
Practice Location Address:

3133 W MARCH LN STE 2020
STOCKTON, CA
95219-2361

Practice Phone: 209-951-0820
Practice Fax:

Directions to “ JONATHAN K LOO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.