Loomis, Troy D

Loomis, Troy D is an individual health care provider with primary practice located at 6099 Wayzata Blvd Ste 120 , Minneapolis MN 55416-5538. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Loomis, Troy D can be contacted via phone (952) 204-5060.

Contact Information

Primary practice address
6099 Wayzata Blvd Ste 120 Minneapolis MN 55416-5538
Fax: (952) 204-9060
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2691 Minnesota

Profile Details

NPI number 1568422301
LBN Legal business name Loomis, Troy D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568422301 NPPES
Minnesota MEDICAID 447819300

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