Provider Demographics
NPI:1225416019
Name:TOADER, SIMONA MARIA (OD)
Entity Type:Individual
Prefix:DR
First Name:SIMONA
Middle Name:MARIA
Last Name:TOADER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:SIMONA
Other - Last Name:TOADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:17 LINDEN LN
Mailing Address - Street 2:
Mailing Address - City:DUNE ACRES
Mailing Address - State:IN
Mailing Address - Zip Code:46304-1011
Mailing Address - Country:US
Mailing Address - Phone:224-578-3884
Mailing Address - Fax:
Practice Address - Street 1:6050 STERLING CREEK RD
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:IN
Practice Address - Zip Code:46368-7752
Practice Address - Country:US
Practice Address - Phone:219-763-8112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-12
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-002664152W00000X
IL046.010864152W00000X
IN18004376A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist