| Organization Name: | TOMAHAWK EYE CARE INC |
| NPI Number: | 1235202318 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAWN R MARQUARDT (PRESIDENT) |
| Mailing Address: | 1334 N 4th St Suite 101 Tomahawk |
| State: | WI US |
| Postal Code: | 544872137 |
| Phone Number: | 7152242200 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 01/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |