Individual
DR. ALAN GREGORY TOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000188
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0351170002
DME POS ASSIGNED MEDICARE
—
01
—
068258
ANTHEM BCBS
—
01
—
068261
ANTHEM BCBS
—
01
—
22-00139
UNITED HEALTHCARE
—
01
—
436185
MAMSI
—
01
—
5072484
CIGNA
—
05
—
92-4258-9
—
VA
Enumeration date
07/19/2005
Last updated
09/05/2024
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