Provider Demographics
NPI:1528022654
Name:TOLAND, DAVID RICHARD II (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RICHARD
Last Name:TOLAND
Suffix:II
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10336 W COGGINS DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-3438
Mailing Address - Country:US
Mailing Address - Phone:623-933-2013
Mailing Address - Fax:623-933-6652
Practice Address - Street 1:10336 W COGGINS DR
Practice Address - Street 2:SUITE A
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3438
Practice Address - Country:US
Practice Address - Phone:623-933-2013
Practice Address - Fax:623-933-6652
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ949152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ71484OtherPTAN
AZZ71484OtherPTAN
AZU62716Medicare UPIN