Healthcare Provider Details

I. General information

NPI: 1194913632
Provider Name (Legal Business Name): THOMA & SUTTON EYECARE PROFESSIONALS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2007
Last Update Date: 08/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SEVERANCE CIR SUITE 110
CLEVELAND HEIGHTS OH
44118-1566
US

IV. Provider business mailing address

2130 OSTERFELD ST
CINCINNATI OH
45214-1568
US

V. Phone/Fax

Practice location:
  • Phone: 216-291-3020
  • Fax: 216-291-0952
Mailing address:
  • Phone: 513-921-5590
  • Fax: 513-921-2680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: LANCE P. SNARR
Title or Position: CEO
Credential:
Phone: 513-921-5590