Provider Demographics
NPI:1265423537
Name:LOCH, KATHERINE D (OD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:D
Last Name:LOCH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 UPPER WAY RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8041
Mailing Address - Country:US
Mailing Address - Phone:610-330-0350
Mailing Address - Fax:
Practice Address - Street 1:9 UPPER WAY RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8041
Practice Address - Country:US
Practice Address - Phone:610-330-0350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001256152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV00344Medicare UPIN