Provider Demographics
NPI:1750423547
Name:TOOMEY, ROBERT DAVID (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DAVID
Last Name:TOOMEY
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 1:800 NICOLLET MALL STE 260
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-7000
Mailing Address - Country:US
Mailing Address - Phone:612-333-3937
Mailing Address - Fax:612-359-0607
Practice Address - Street 1:800 NICOLLET MALL STE 260
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-7000
Practice Address - Country:US
Practice Address - Phone:612-333-3937
Practice Address - Fax:612-359-0607
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1547152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN102165OtherUCARE
MN5179605OtherAETNA
MN701001OtherPREFERRED ONE
MN17933TOOtherBCBS
MN701001OtherPREFERRED ONE