Provider Demographics
NPI:1346481777
Name:SHEINKOPF AND TOMASIK EYE CARE ASSOCIATES
Entity Type:Organization
Organization Name:SHEINKOPF AND TOMASIK EYE CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:TOMASIK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-398-6333
Mailing Address - Street 1:279 STATION AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-1842
Mailing Address - Country:US
Mailing Address - Phone:508-398-6333
Mailing Address - Fax:508-394-3468
Practice Address - Street 1:279 STATION AVE
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1842
Practice Address - Country:US
Practice Address - Phone:508-398-6333
Practice Address - Fax:508-394-3468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3332332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0575400002OtherDME MAC JURISDICTION A