Provider Demographics
NPI:1043591951
Name:DR ALLISON TOLER AND ASSOCIATES PA
Entity Type:Organization
Organization Name:DR ALLISON TOLER AND ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:352-241-6777
Mailing Address - Street 1:PO BOX 121219
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34712-1219
Mailing Address - Country:US
Mailing Address - Phone:352-241-6777
Mailing Address - Fax:352-394-1762
Practice Address - Street 1:2660 E HIGHWAY 50
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6034
Practice Address - Country:US
Practice Address - Phone:352-241-6777
Practice Address - Fax:352-394-1762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3837152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFX885AMedicare PIN