Provider Demographics
NPI:1811291891
Name:DR EDWARD J TOMASIK AND ASSOCIATED OPTOMETRISTS INC
Entity type:Organization
Organization Name:DR EDWARD J TOMASIK AND ASSOCIATED OPTOMETRISTS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:TOMASIK
Authorized Official - Last Name:SEEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:HIS,MBA
Authorized Official - Phone:414-744-0449
Mailing Address - Street 1:PO BOX 100200
Mailing Address - Street 2:3552 E LAYTON AVE
Mailing Address - City:CUDAHY
Mailing Address - State:WI
Mailing Address - Zip Code:53110-6103
Mailing Address - Country:US
Mailing Address - Phone:414-744-0449
Mailing Address - Fax:414-744-1315
Practice Address - Street 1:3552 E LAYTON AVE
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:WI
Practice Address - Zip Code:53110-1409
Practice Address - Country:US
Practice Address - Phone:414-744-0449
Practice Address - Fax:414-744-1315
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR EDWARD J TOMASIK AND ASSOCIATED OPTMETRISTS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty