MEDICARE: LOMAN EYE CARE, INC

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	152WC0802X	Corneal and Contact Management Optometrist	18001532	IN
2	152W00000X	Optometrist	18001532	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02948	OTHER	IN	SPECTERA
2	219714	OTHER	IN	ANTHEM
3	IN1532	OTHER	IN	EYEMED
4	IN91532	OTHER	IN	VBA
5	150225	OTHER	IN	NVA

General Provider Information

NPI Number	:	1609992767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOMAN EYE CARE, INC

Provider Business Mailing Address
First Line	:	630 3RD AVE SW
Second Line	:	SUITE 100
City	:	CARMEL
State	:	IN
Zip	:	46032-2086
Country	:	US
Telephone Number	:	317-844-7474
Fax Number	:	317-819-0073

Provider Business Practice Location Address
First Line	:	630 3RD AVE SW
Second Line	:	SUITE 100
City	:	CARMEL
State	:	IN
Zip	:	46032-2086
Country	:	US
Telephone Number	:	317-844-7474
Fax Number	:	317-819-0073

Authorized Official
Title or Position	:	OWNER
Name	:	DR. STEVEN E. LOMAN
Credential	:	OD
Telephone Number	:	317-844-7474

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	09/04/2012

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Directions to “LOMAN EYE CARE, INC ” Practice Location

Language	Start Address	Practice Location

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