Provider Demographics
NPI:1992788293
Name:TOVEY, ROBERT JAMES (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:TOVEY
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 1:3081 W. BULLARD AVENUE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-1609
Mailing Address - Country:US
Mailing Address - Phone:559-277-0015
Mailing Address - Fax:559-277-0018
Practice Address - Street 1:3081 W. BULLARD AVENUE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-1609
Practice Address - Country:US
Practice Address - Phone:559-277-0015
Practice Address - Fax:559-277-0018
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT8880TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
5110240001OtherDMERC
410037543OtherRR MCARE
CA5110240001OtherDMEPOS NUMBER
CA5110240001OtherDMEPOS NUMBER
U13531Medicare UPIN
CASD0088800Medicare ID - Type Unspecified