Individual provider Active NPI

Delores E Tomasik

  • Hearing Instrument Specialist
  • Cudahy, WI
National Provider Identifier
1265676183
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1221060 Issued in WI
Practice address
3552 E Layton Ave
Cudahy, WI 53110-1409
Phone
(414) 744-0449
Fax
(414) 744-1315
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 1221060 WI Primary

Addresses

Primary practice location

3552 E Layton Ave
Cudahy, WI 53110-1409

Mailing address

3552 E Layton Ave
Cudahy, WI 53110-1409
Phone (414) 744-0449

Other identifiers 1

IdentifierTypeStateIssuer
42838500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1221060WIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward J Tomasik & Associate Optometrists Inc. PastSince Apr 23, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1265676183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 E LAYTON AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101409",
            "telephone_number": "414-744-0449",
            "fax_number": "414-744-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3552 E LAYTON AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101409",
            "telephone_number": "414-744-0449",
            "fax_number": "414-744-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASIK",
        "first_name": "DELORES",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1221060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42838500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.