Provider Demographics
NPI:1780723049
Name:TOYZER, BARRY JAY (OD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:JAY
Last Name:TOYZER
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 1:154 W EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-1110
Mailing Address - Country:US
Mailing Address - Phone:610-449-5051
Mailing Address - Fax:610-449-5051
Practice Address - Street 1:154 W EAGLE RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-1110
Practice Address - Country:US
Practice Address - Phone:610-449-5051
Practice Address - Fax:610-449-5051
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOET-008763152W00000X, 152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA15544OtherSPECTERA
PA2046022OtherAETNA
PA391887OtherNVA
PA000002092OtherHIGHMARK BLUE SHIELD
PAT27007Medicare UPIN
PA002092YAAYMedicare PIN