Provider Demographics
NPI:1154871119
Name:LOHMAN EYE CARE ASSOCIATES
Entity type:Organization
Organization Name:LOHMAN EYE CARE ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-688-8811
Mailing Address - Street 1:2700 SANDY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-8208
Mailing Address - Country:US
Mailing Address - Phone:330-688-8811
Mailing Address - Fax:330-688-9550
Practice Address - Street 1:3330 KENT RD
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-4537
Practice Address - Country:US
Practice Address - Phone:330-688-8811
Practice Address - Fax:330-688-9550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3133152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2275396 OHMedicaid
OH298421012OtherBUCKEYE
OH298421012OtherBUCKEYE