Provider Demographics
NPI:1811966179
Name:LOVAS, JOHN T (OD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:LOVAS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:
Practice Address - Street 1:840 W BOUNDARY ST
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1702
Practice Address - Country:US
Practice Address - Phone:419-931-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5560152WX0102X, 152W00000X, 152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI90-0-F3-3651-0OtherBLUE CROSS BLUE SHIELD
OH2669670OtherMEDICAID
OHP00373584OtherRAILROAD MEDICARE
MI04995OtherPARAMOUNT
MI944990749OtherMEDICAID
OHRO0743461Medicare PIN
OH2669670OtherMEDICAID
MI90-0-F3-3651-0OtherBLUE CROSS BLUE SHIELD
MI944990749OtherMEDICAID
OHLO4197631Medicare PIN