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General NPI Number Information
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NPI Number | 1518952381
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Entity Type | Individual
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Provider Name | THOMAS DAVID TOMASIK OD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 279 STATION AVE
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City | SOUTH YARMOUTH
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State | MA
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Zip | 02664-1842
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Country | US
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Telephone | 508-398-6333
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Fax | 508-394-3468
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Provider Business Mailing Address
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Address Line | 279 STATION AVE
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City | SOUTH YARMOUTH
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State | MA
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Zip | 02664-1842
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Country | US
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Telephone | 508-398-6333
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Fax | 508-394-3468
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3332
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License Number State | MA
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