Provider Demographics
NPI:1205638269
Name:TOLEDO EYE ASSOCIATES LLC
Entity type:Organization
Organization Name:TOLEDO EYE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WASYLIK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:419-357-3359
Mailing Address - Street 1:PO BOX 10032
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43699-0032
Mailing Address - Country:US
Mailing Address - Phone:419-357-3359
Mailing Address - Fax:
Practice Address - Street 1:5655 MONCLOVA RD
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1870
Practice Address - Country:US
Practice Address - Phone:419-357-3359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty