Provider Demographics
NPI:1417019563
Name:TOBIAS, JOSEPH JOHN (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:TOBIAS
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 1:4391 W SWAMP RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-1039
Mailing Address - Country:US
Mailing Address - Phone:215-345-7323
Mailing Address - Fax:215-348-0218
Practice Address - Street 1:4391 W SWAMP RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-1039
Practice Address - Country:US
Practice Address - Phone:215-345-7323
Practice Address - Fax:215-348-0218
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000574152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT30523Medicare UPIN
NJ565768CETMedicare PIN