Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156F00000X | Technician/Technologist | ||
N | 156FX1100X | Ophthalmic | ||
N | 156FX1101X | Ophthalmic Assistant | ||
N | 156FX1201X | Optometric Assistant | ||
N | 156FX1202X | Optometric Technician | ||
Y | 156FX1800X | Optician |
NPI | 1649414566 |
---|---|
Provider Name | Ms. Cynthia Tomasik Seemann |
First Address | Wauwatosa, WI 53210-0200 |
Second Address | Cudahy, WI 53110-1409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2009 |
Last Update Date | 05/03/2010 |