Provider Demographics
NPI:1861684557
Name:TOLCHIN, ZOEY (OD)
Entity Type:Individual
Prefix:DR
First Name:ZOEY
Middle Name:
Last Name:TOLCHIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2914
Mailing Address - Country:US
Mailing Address - Phone:781-935-1025
Mailing Address - Fax:781-933-6110
Practice Address - Street 1:65 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6711
Practice Address - Country:US
Practice Address - Phone:617-852-7330
Practice Address - Fax:781-341-1408
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4636152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist