Individual
TONI R ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1700 PARK AVE, MUSCATINE, IA 52761-5469
(563) 263-2020
(563) 263-7435
Mailing address
3200 MULBERRY AVE, MUSCATINE, IA 52761-2319
(563) 263-2507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2024
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101311
—
IA
05
—
3101311
—
IA
05
—
4101311
—
IA
Enumeration date
06/13/2005
Last updated
04/10/2026
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