Provider Demographics
NPI:1740476142
Name:JAMES W TOMKO OD LLC
Entity type:Organization
Organization Name:JAMES W TOMKO OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:TOMKO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-562-2020
Mailing Address - Street 1:215 W GARFIELD RD STE 130
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-8849
Mailing Address - Country:US
Mailing Address - Phone:330-562-2020
Mailing Address - Fax:330-562-2867
Practice Address - Street 1:215 W GARFIELD RD STE 130
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-8849
Practice Address - Country:US
Practice Address - Phone:330-562-2020
Practice Address - Fax:330-562-2867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH67 032809152W00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6790730001Medicare NSC