Provider Demographics
NPI:1881865889
Name:TOM SOWASH OD & ASSOCIATES P C
Entity Type:Organization
Organization Name:TOM SOWASH OD & ASSOCIATES P C
Other - Org Name:EYEMASTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOWASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-570-0660
Mailing Address - Street 1:PO BOX 849764
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-9764
Mailing Address - Country:US
Mailing Address - Phone:210-524-6803
Mailing Address - Fax:210-524-6587
Practice Address - Street 1:917 N PROMENADE PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85294-5415
Practice Address - Country:US
Practice Address - Phone:520-836-8946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier