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NPI Code Detail

MEDICARE: LUELINDA TOMLIN OD

MEDICARE: LUELINDA TOMLIN OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist8170TCA
2152WC0802XCorneal and Contact Management OptometristOP8170TCA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11013918911OTHERCAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3SD0081700OTHERCABLUE SHIELD
4330442849OTHERCABLUE CROSS

General Provider Information

NPI Number : 1013918911
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUELINDA TOMLIN OD
Provider Business Mailing Address
First Line : 4409 E LOS COYOTES DIAGONAL
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-2820
Country : US
Telephone Number : 562-437-1276
Fax Number : 562-494-3388
Provider Business Practice Location Address
First Line : 4409 E LOS COYOTES DIAGONAL
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-2820
Country : US
Telephone Number : 562-437-1276
Fax Number : 562-494-3388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 01/27/2009

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Directions to “ LUELINDA TOMLIN OD” Practice Location

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