Provider Demographics
NPI:1316256936
Name:TOBII ASSISTIVE TECHNOLOGY INC
Entity type:Organization
Organization Name:TOBII ASSISTIVE TECHNOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUDNICKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-461-8200
Mailing Address - Street 1:333 ELM ST
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-4530
Mailing Address - Country:US
Mailing Address - Phone:781-461-8200
Mailing Address - Fax:781-461-2449
Practice Address - Street 1:99-157A IWAIWA PL
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3257
Practice Address - Country:US
Practice Address - Phone:808-215-0120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW21832454 01332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
1195100001Medicare NSC