Organization Active NPI

Toss Optometry Inc

  • Optometrist
  • Marquette, MI
National Provider Identifier
1891810248
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003170 Issued in MI
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
P12110001OtherMEMBER MEDICAID # M
1891810248OtherMIMEDICARE TYPE: PROFESSIONAL OFFICE
2606169MedicaidMI
900E210570OtherBLUE CROSS BLUE SHEILD
P12110001OtherMIMEMBER MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050315000761 MI Part B Supplier - Clinic/Group Practice 5698720357 Receives reassigned benefits from 2 practitioners
Practice locations: Marquette, MI
O20100930044695 MI DME Supplier - Physician - OptometristDME Supplier - Optician 5698720357 Practice locations: Marquette, MI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.