MEDICARE: DR. GERARD N. LOZADA O.D.

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	152WC0802X	Corneal and Contact Management Optometrist	13813	KS

General Provider Information

NPI Number	:	1902876048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERARD N. LOZADA O.D.

Provider Business Mailing Address
First Line	:	7355 W 97TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66212-2210
Country	:	US
Telephone Number	:	913-648-2021
Fax Number	:	913-648-7762

Provider Business Practice Location Address
First Line	:	7355 W 97TH ST
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66212-2210
Country	:	US
Telephone Number	:	913-648-2021
Fax Number	:	913-648-7762

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	03/07/2023

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