Provider Demographics
NPI:1912195660
Name:THOMA & SUTTON EYECARE PROFESSIONALS, LLC
Entity Type:Organization
Organization Name:THOMA & SUTTON EYECARE PROFESSIONALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:P
Authorized Official - Last Name:SNARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-921-5590
Mailing Address - Street 1:2130 OSTERFELD ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45214-1568
Mailing Address - Country:US
Mailing Address - Phone:513-921-5590
Mailing Address - Fax:513-921-2680
Practice Address - Street 1:4021 FAR HILLS AVE
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-2413
Practice Address - Country:US
Practice Address - Phone:937-293-2149
Practice Address - Fax:937-395-9633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1192330013Medicare NSC