Active NPI
Toss Optometry Inc
- Optometrist
- Marquette, MI
National Provider Identifier
1891810248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003170
- Legal business name
- TOSS OPTOMETRY INC
- Practice address
- 131 W Washington Street
Marquette, MI 49855 - Phone
- (906) 226-2020
- Fax
- (906) 226-4678
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jon P Webb, OD
- Title
- President
- Phone
- (906) 226-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003170 | MI | Primary |
Addresses
Primary practice location
131 W Washington Street
Marquette, MI 49855
Mailing address
131 W Washington Street
Marquette, MI 49855
Phone (906) 226-2020
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P12110001 | Other | MEMBER MEDICAID # M | |
| 1891810248 | Other | MI | MEDICARE TYPE: PROFESSIONAL OFFICE |
| 2606169 | Medicaid | MI | |
| 900E210570 | Other | BLUE CROSS BLUE SHEILD | |
| P12110001 | Other | MI | MEMBER MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
131 W Washington St
Ste B
Marquette, MI 49855
Phone (248) 496-0995
131 W Washington St
Marquette, MI 49855
Phone (906) 226-2020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Marquette, MI
- NPI 1699392159
-
- Optometrist
- Big Rapids, MI
- NPI 1285614644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1891810248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 W WASHINGTON STREET",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-226-2020",
"fax_number": "906-226-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 W WASHINGTON STREET",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "49855",
"telephone_number": "906-226-2020",
"fax_number": "906-226-4678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOSS OPTOMETRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "906-226-2020",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901003170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEMBER MEDICAID # M",
"identifier": "P12110001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TYPE: PROFESSIONAL OFFICE",
"identifier": "1891810248",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2606169",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "900E210570",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEMBER MEDICARE",
"identifier": "P12110001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.