Provider Demographics
NPI:1235622309
Name:LOUIA, ALYSSA (OD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:LOUIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:DROSSELMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:530 W RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WYTHEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24382-1188
Mailing Address - Country:US
Mailing Address - Phone:276-223-0033
Mailing Address - Fax:276-223-0327
Practice Address - Street 1:216 N MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-5119
Practice Address - Country:US
Practice Address - Phone:316-283-1310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002831152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist