Provider Demographics
NPI:1417920596
Name:LOMASNEY, JANET T (OD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:T
Last Name:LOMASNEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 TENTH AVE
Mailing Address - Street 2:
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060
Mailing Address - Country:US
Mailing Address - Phone:810-966-1950
Mailing Address - Fax:810-966-1952
Practice Address - Street 1:1612 TENTH AVE
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060
Practice Address - Country:US
Practice Address - Phone:810-966-1950
Practice Address - Fax:810-966-1952
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003780152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0G41185OtherBLUE CROSS BLUE SHIELD
410046289OtherRRB
MIN35290001Medicare PIN
MI0G41185OtherBLUE CROSS BLUE SHIELD