Joseph Reed Toler, OD

Individual provider Active NPI Corneal and Contact Management Optometrist · Amelia, VA

NPI 1366464109 · NPPES record last updated Nov 5, 2021

Key facts

NPI
1366464109
Entity type
Individual (NPI type 1)
Primary specialty
Corneal and Contact Management Optometrist 152WC0802X
License
0618000415 (VA)
Practice address
9231 Amelia St
Amelia, VA 23002-0000
Phone
(804) 561-3937
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0618000415VAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Place Optometry, P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 0618000415 VA Yes

Addresses

Primary practice location

9231 Amelia St
Amelia, VA 23002-0000

Mailing address

5640 Riverside Dr
Richmond, VA 23225-2536
Phone (804) 387-6918

Other identifiers

IdentifierTypeStateIssuer
061293OtherVAANTHEM-BC/BS

Other providers in Amelia, VA

All providers in Amelia, VA · Corneal and Contact Management Optometrist in Virginia

Sources for this page

Verify at the official NPI Registry.