Organization Active NPI

Edward J Tomasik & Associate Optometrists Inc.

  • Customized Equipment (DME)
  • Cudahy, WI
National Provider Identifier
1568639102
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1221 Issued in WI
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Mrs. Delores E TomasikNPI 1265676183
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
42838500MedicaidWI

Other names 1

  • Layton Hearing Professionals Doing business as

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.

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.

Verify at the official NPI Registry.