Active NPIIndividual provider

Dr. Loren S Jack, MD

Ophthalmology in Spokane, Washington

NPI Number1306171970
Practice location
427 S Bernard St, Spokane, WA 99204-2509
Fax
509-747-2635
Last updated
October 29, 2026

Loren S Jack is an Ophthalmology based in Spokane, WA. Loren S Jack practices in Spokane, WA and has the professional credentials of MD. The NPI Number for Loren S Jack is 1306171970 and holds a License No. 60524950 (WA). The current practice location address for Loren S Jack is 427 S Bernard St, Spokane, WA 99204-2509 and can be reached out via phone at 509-456-0107 and via fax at 509-747-2635.

Provider Profile Details

NPI Number
1306171970
Provider Name
Loren S Jack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
427 S Bernard St, Spokane, WA 99204-2509
Phone Number
509-456-0107
Fax Number
509-747-2635
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2009
Last Update Date
October 29, 2026
Certification Date
October 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
427 S Bernard St
Spokane, WA 99204-2509
Zip
99204-2509
Phone Number
509-456-0107
Fax Number
509-747-2635
Spokane, WA 99204Get directions →

Provider Business Mailing Address Details

Address
420 Mountain Ave Fl 4
New Providence, NJ 07974-2736
City
New Providence
State
NJ
Zip
07974-2736
Phone Number
908-458-8333
Fax Number
908-530-6522

License Information

License Number
60524950
License State
WA
Taxonomy
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Loren S Jack, MD?

The NPI number of Dr. Loren S Jack, MD is 1306171970. It was assigned on October 14, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Loren S Jack, MD?

Dr. Loren S Jack, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in WA under license number 60524950.

Where does Dr. Loren S Jack, MD practice?

The practice location is 427 S Bernard St, Spokane, WA 99204-2509. The office can be reached at 509-456-0107 (phone) or 509-747-2635 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306171970 directly on the NPPES registry website.

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