Provider Demographics
NPI:1184751885
Name:LOMAS EYE CARE CENTER P.L.L.C.
Entity type:Organization
Organization Name:LOMAS EYE CARE CENTER P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-524-0948
Mailing Address - Street 1:17800 TALBOT RD S
Mailing Address - Street 2:SUITE A
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5740
Mailing Address - Country:US
Mailing Address - Phone:425-255-0986
Mailing Address - Fax:425-271-5703
Practice Address - Street 1:17800 TALBOT RD S
Practice Address - Street 2:SUITE A
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5740
Practice Address - Country:US
Practice Address - Phone:425-255-0986
Practice Address - Fax:425-271-5703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Not Answered207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA=========OtherTAX ID NUMBER