Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 466785 | IL |
NPI | 1003895392 |
---|---|
Provider Name | Dr. Rand Toney |
First Address | Batavia, IL 60510-1953 |
Second Address | Batavia, IL 60510-1953 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 13/06/2008 |