Provider Demographics
NPI:1972872471
Name:DR. ALLAN S. TOCKER AND ASSOCIATES
Entity type:Organization
Organization Name:DR. ALLAN S. TOCKER AND ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:302-478-1614
Mailing Address - Street 1:5151 W WOODMILL DR
Mailing Address - Street 2:SUITE 19
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4067
Mailing Address - Country:US
Mailing Address - Phone:302-598-3754
Mailing Address - Fax:
Practice Address - Street 1:5151 W WOODMILL DR STE 19
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4067
Practice Address - Country:US
Practice Address - Phone:302-995-9060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEI3-0001164152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty