Provider Demographics
NPI:1376682625
Name:TOMKO, JAMES W (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:TOMKO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:215 W GARFIELD RD
Mailing Address - Street 2:STE 130
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-7849
Mailing Address - Country:US
Mailing Address - Phone:330-562-2020
Mailing Address - Fax:330-562-2867
Practice Address - Street 1:215 W GARFIELD RD
Practice Address - Street 2:STE 130
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-7849
Practice Address - Country:US
Practice Address - Phone:330-562-2020
Practice Address - Fax:330-562-2867
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3900152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000135401OtherANTHEM
OHH217551Medicare PIN