Provider Demographics
NPI:1508055914
Name:LORO INVESTMENTS, INC
Entity Type:Organization
Organization Name:LORO INVESTMENTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZANOFF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:616-784-7360
Mailing Address - Street 1:6715 SUNBURST DR
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49024-1010
Mailing Address - Country:US
Mailing Address - Phone:269-327-9023
Mailing Address - Fax:
Practice Address - Street 1:3286 ALPINE AVE NW STE A
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49544-1668
Practice Address - Country:US
Practice Address - Phone:616-784-7360
Practice Address - Fax:616-784-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002523152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty