Provider Demographics
NPI:1972570513
Name:TOKER, PERRY A (OD)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:A
Last Name:TOKER
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 1:368 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-2828
Mailing Address - Country:US
Mailing Address - Phone:201-659-2774
Mailing Address - Fax:201-653-7319
Practice Address - Street 1:368 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-2828
Practice Address - Country:US
Practice Address - Phone:201-659-2774
Practice Address - Fax:201-653-7319
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ270A00506701152W00000X, 152WV0400X, 152WX0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Not Answered152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0569500Medicaid
NJU01809Medicare UPIN
NJ624456TVOMedicare ID - Type Unspecified