Provider Demographics
NPI:1962435693
Name:TOMASCHEK, LASZLO S (MD)
Entity type:Individual
Prefix:
First Name:LASZLO
Middle Name:S
Last Name:TOMASCHEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6390 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3073
Mailing Address - Country:US
Mailing Address - Phone:440-843-2301
Mailing Address - Fax:440-884-6390
Practice Address - Street 1:6390 PEARL RD
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3073
Practice Address - Country:US
Practice Address - Phone:440-843-2301
Practice Address - Fax:440-884-6390
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35044458207W00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1149780001Medicare NSC
OH0477061Medicare PIN
OHA79408Medicare UPIN
OH791183542Medicare PIN