Healthcare Provider Details

I. General information

NPI: 1609992767
Provider Name (Legal Business Name): LOMAN EYE CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 09/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 3RD AVE SW SUITE 100
CARMEL IN
46032-2086
US

IV. Provider business mailing address

630 3RD AVE SW SUITE 100
CARMEL IN
46032-2086
US

V. Phone/Fax

Practice location:
  • Phone: 317-844-7474
  • Fax: 317-819-0073
Mailing address:
  • Phone: 317-844-7474
  • Fax: 317-819-0073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18001532
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number18001532
License Number StateIN

VIII. Authorized Official

Name: DR. STEVEN E. LOMAN
Title or Position: OWNER
Credential: OD
Phone: 317-844-7474