MEDICARE: THOMA & SUTTON EYECARE PROFESSIONALS, LLC

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
1	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437344124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMA & SUTTON EYECARE PROFESSIONALS, LLC

Provider Business Mailing Address
First Line	:	2130 OSTERFELD ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-1568
Country	:	US
Telephone Number	:	513-921-5590
Fax Number	:	513-921-2680

Provider Business Practice Location Address
First Line	:	11919 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-2019
Country	:	US
Telephone Number	:	513-583-8970
Fax Number	:	513-583-9072

Authorized Official
Title or Position	:	CEO
Name	:	LANCE P. SNARR
Credential	:
Telephone Number	:	513-921-5590

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	06/03/2008

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