Provider Demographics
NPI:1326205162
Name:EDWARD J TOMASIK & ASSOCIATE OPTOMETRISTS INC.
Entity Type:Organization
Organization Name:EDWARD J TOMASIK & ASSOCIATE OPTOMETRISTS INC.
Other - Org Name:DR EJ TOMASIK & ASSOC. OPTOMETRISTS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:TOMASIK
Authorized Official - Last Name:SEEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-744-0449
Mailing Address - Street 1:3552 E LAYTON AVE
Mailing Address - Street 2:
Mailing Address - City:CUDAHY
Mailing Address - State:WI
Mailing Address - Zip Code:53110-0200
Mailing Address - Country:US
Mailing Address - Phone:414-744-0449
Mailing Address - Fax:414-744-1315
Practice Address - Street 1:3552 E LAYTON AVE
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:WI
Practice Address - Zip Code:53110-0200
Practice Address - Country:US
Practice Address - Phone:414-744-0449
Practice Address - Fax:414-744-1315
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDWARD J TOMASIK & ASSOCIATE OPTOMETRISTS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-20
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment