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Organization

TOSS OPTOMETRY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON P WEBB OD (PRESIDENT)
(906) 226-2020
Entity
Organization

Contact information

Practice address
131 W WASHINGTON STREET, MARQUETTE, MI 49855
(906) 226-2020
(906) 226-4678
Mailing address
131 W WASHINGTON STREET, MARQUETTE, MI 49855
(906) 226-2020
(906) 226-4678

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003170
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891810248
MEDICARE TYPE: PROFESSIONAL OFFICE
MI
05
2606169
MI
01
900E210570
BLUE CROSS BLUE SHEILD
01
P12110001
MEMBER MEDICARE
MI
01
P12110001
MEMBER MEDICAID # M
Enumeration date
03/21/2007
Last updated
07/21/2022
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