Provider Demographics
NPI:1619187028
Name:COMFORT WEAR INC.
Entity Type:Organization
Organization Name:COMFORT WEAR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHTER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWANDOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:C PED
Authorized Official - Phone:216-321-4986
Mailing Address - Street 1:2261 WARRENSVILLE CENTER ROAD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44141-3143
Mailing Address - Country:US
Mailing Address - Phone:216-321-4986
Mailing Address - Fax:216-321-0794
Practice Address - Street 1:2261 WARRENSVILLE CENTER RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3143
Practice Address - Country:US
Practice Address - Phone:216-321-4986
Practice Address - Fax:216-321-0794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLPED 24335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0167546Medicaid
OH00000155203OtherANTHEM BLUE CROSS
OH00000155203OtherANTHEM BLUE CROSS
OH0167546Medicaid
0877270001Medicare NSC