Provider Demographics
NPI:1003895392
Name:TONEY, RAND (OD)
Entity Type:Individual
Prefix:DR
First Name:RAND
Middle Name:
Last Name:TONEY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 N ISLAND AVE STE G
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1996
Mailing Address - Country:US
Mailing Address - Phone:630-879-1354
Mailing Address - Fax:630-879-5392
Practice Address - Street 1:34 N ISLAND AVE STE G
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1996
Practice Address - Country:US
Practice Address - Phone:630-879-1354
Practice Address - Fax:630-879-5392
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL466785152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0299730001Medicare NSC
ILK39748Medicare PIN