Provider Demographics
NPI:1366464109
Name:TOLER, JOSEPH REED (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:REED
Last Name:TOLER
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 1:5640 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-2536
Mailing Address - Country:US
Mailing Address - Phone:804-387-6918
Mailing Address - Fax:
Practice Address - Street 1:9231 AMELIA ST
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:VA
Practice Address - Zip Code:23002-0000
Practice Address - Country:US
Practice Address - Phone:804-561-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000415152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA061293OtherANTHEM-BC/BS