Provider Demographics
NPI:1033498910
Name:TOY, SALLY (OD)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:
Last Name:TOY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 PROFESSIONAL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-2412
Mailing Address - Country:US
Mailing Address - Phone:530-885-3767
Mailing Address - Fax:530-885-3201
Practice Address - Street 1:3126 PROFESSIONAL DR STE 300
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-2412
Practice Address - Country:US
Practice Address - Phone:530-885-3767
Practice Address - Fax:530-885-3201
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14228152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist