Provider Demographics
NPI:1467758425
Name:DR ALAN TOLER & ASSOCIATES PLLC
Entity Type:Organization
Organization Name:DR ALAN TOLER & ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERRIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-231-9151
Mailing Address - Street 1:1407 WESTOVER HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-3109
Mailing Address - Country:US
Mailing Address - Phone:804-231-9151
Mailing Address - Fax:804-231-9175
Practice Address - Street 1:1407 WESTOVER HILLS BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-3109
Practice Address - Country:US
Practice Address - Phone:804-231-9151
Practice Address - Fax:804-231-9175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000188152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA410000392OtherMEDICARE
VA009242589Medicaid
VA410019925OtherMEDICARE RR
VA5072484OtherCIGNA
VA410000711OtherMEDICARE
VA068258OtherANTHEM
VA2200139OtherUNITED HEALTHCARE
VA6495827OtherCIGNA
VA068257OtherANTHEM
VA436188OtherMAMSI
VA068260OtherANTHEM
VA2200104OtherUNITED HEALTHCARE
VA068258OtherANTHEM
VA068261OtherANTHEM
VA410000712OtherMEDICARE
VA410019925OtherMEDICARE RR
VA5072484OtherCIGNA
VA580612237OtherMEDICARE RR
VA410000711OtherMEDICARE
VA410019925OtherMEDICARE RR
VAT95763Medicare UPIN