Active NPI
Edward J Tomasik & Associate Optometrists Inc.
- Customized Equipment (DME)
- Cudahy, WI
National Provider Identifier
1568639102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 1221
- Legal business name
- EDWARD J TOMASIK & ASSOCIATE OPTOMETRISTS INC.
- Practice address
- 3552 E Layton Ave
Cudahy, WI 53110-1409 - Phone
- (414) 744-0449
- Fax
- (414) 744-1315
- NPI assigned
- May 13, 2008
- Organization subpart
- Yes
- Parent organization
- EDWARD J TOMASIK & ASSOCIATE OPTOMETRISTS INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Delores E Tomasik
- Title
- Licensed Hearing Instrument Special
- Phone
- (414) 744-0449
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 1221 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42838500 | Medicaid | WI |
Other names 1
- Layton Hearing Professionals
National Provider Directory
National Provider Directory- Part of
- E Tomasik OD ASC
Locations
7182 S 76th St
Franklin, WI 53132
Phone (414) 431-1929
8720 W North Ave
Wauwatosa, WI 53226
Phone (414) 774-0200
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hearing Instrument Specialist
- Cudahy, WI
- NPI 1265676183
-
- Audiologist
- Brookfield, WI
- NPI 1619286408
-
- Optometrist
- Glendale, MI
- NPI 1700927886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477267200000",
"number": "1568639102",
"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": {
"organization_name": "EDWARD J TOMASIK & ASSOCIATE OPTOMETRISTS INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EDWARD J TOMASIK & ASSOCIATE OPTOMETRISTS INC.",
"enumeration_date": "2008-05-13",
"last_updated": "2016-10-24",
"status": "A",
"authorized_official_last_name": "TOMASIK",
"authorized_official_first_name": "DELORES",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "LICENSED HEARING INSTRUMENT SPECIAL",
"authorized_official_telephone_number": "414-744-0449",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "WI",
"license": "1221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42838500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Layton Hearing Professionals",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.