Toby J. Palm O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2872T Issued in OR

Legal business name

TOBY J. PALM O.D., P.C.

Doing business as

Palm Family Eyecare

Practice address

145 Myrtle St
Suite 108
Sutherlin, OR 97479-9113

Phone

(541) 459-4333

Fax

(541) 459-7512

NPI assigned

Aug 16, 2006

Last updated

Jan 24, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Toby J Palm, O.D.NPI 1366430936

Title

Owner/Optometrist

Phone

(541) 459-4333

Specialties & licenses 1

Addresses

Other names 1

• Palm Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toby Palm, O.D.

  • Optometrist
  • Sutherlin, OR
  • NPI 1366430936
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1407969322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MYRTLE ST",
            "address_2": "SUITE 108",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799113",
            "telephone_number": "541-459-4333",
            "fax_number": "541-459-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MYRTLE ST",
            "address_2": "SUITE 108",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799113",
            "telephone_number": "541-459-4333",
            "fax_number": "541-459-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBY J. PALM O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "PALM",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "541-459-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2872T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Matt Vincent Vaccaro, LA.C
• Dennis Weathers
• Dorothy Ann White, LPN

• Optometrist in Sutherlin, OR
• Providers in Sutherlin, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.