Provider Demographics
NPI:1669677167
Name:RAND TONEY OD PC
Entity Type:Organization
Organization Name:RAND TONEY OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAND
Authorized Official - Middle Name:
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:630-879-1354
Mailing Address - Street 1:34 N ISLAND AVE STE G
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1996
Mailing Address - Country:US
Mailing Address - Phone:630-879-1354
Mailing Address - Fax:
Practice Address - Street 1:34 NORTH ISLAND AVE.
Practice Address - Street 2:SUITE G
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1966
Practice Address - Country:US
Practice Address - Phone:630-879-1354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL466785152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4584029OtherBCBS
IL215317Medicare PIN
IL4584029OtherBCBS