Individual
DR. ANGELO TOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
20845 MACK AVE, GROSSE POINTE, MI 48236-1456
(313) 885-4987
(313) 885-4198
Mailing address
20845 MACK AVE, GROSSE POINTE, MI 48236-1456
(313) 885-4987
(313) 885-4198
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002831
MI
152WC0802X
Corneal and Contact Management Optometrist
4901002831
MI
152WP0200X
Pediatric Optometrist
4901002831
MI
152WS0006X
Sports Vision Optometrist
4901002831
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382191872
—
MI
Enumeration date
11/09/2006
Last updated
04/09/2009
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